| NPI | 1821844689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GODFREY Owner 515-360-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-30 |