| NPI | 1730214610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN SCHULTZ Dentist 563-582-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08378) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |