| NPI | 1669660254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY J. STEVENS President/Dentist 712-274-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08173) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |