| NPI | 1811108749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWARD DEMARCO Owner 515-282-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7667) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-10-12 |