| NPI | 1801944111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN D. WORKMAN Treasurer 319-395-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 5416) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |