| NPI | 1790237204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DRZYCIMSKI Owner Dentist 515-576-5786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA DDS-09354) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |