| NPI | 1700043569 |
|---|---|
| Doing Business As | DOUGLAS DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | DWIGHT W RASTETTER Owner 515-270-6809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 8061) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |