| NPI | 1780296137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY KARRAS Owner 515-240-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-19 |