| NPI | 1659672038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C BOLICK Owner/Doctor 319-234-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 6526) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 08702) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |