| NPI | 1720260482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR KIRCHNER Insurance Clerk 515-266-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2018-04-03 |