| NPI | 1730355033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M ALT Corporate V.P. And Sec 563-242-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: IA 06659) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |