| NPI | 1801934633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILBUR COLLINS President Owner 515-964-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 05879) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |