| NPI | 1760530448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P DAHM Dentist 641-628-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA IA7530) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-11-07 |