| NPI | 1700053006 |
|---|---|
| Doing Business As | IOWA CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PHELAN RICO THOMAS President 515-223-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07198) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |