| NPI | 1811474927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M REYES Owner 515-243-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 09492) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |