| NPI | 1821199357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L KALER President 712-276-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IA 7320) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 5709) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IA 7622) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |