| NPI | 1730480013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH FAUCHIER President 319-377-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08498) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |