NPI | 1689762494 |
---|---|
Other Name | MARC C SLIVKEN DAVID A JOHNSON THOMAS A THOL |
Entity Type | Organization |
Authorized Contact | THOMAS WILLIAM THUL President Dentist 563-359-3494 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-10-10 |
Last Update Date | 2020-08-22 |