| NPI | 1730434937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J THOMPSON President 319-338-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 08826) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |