| NPI | 1841231644 |
|---|---|
| Other Name | RENEE MAIKON, DDS |
| Entity Type | Organization |
| Authorized Contact | RENEE ELAINE MAIKON Dentist Owner 319-362-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IA 07308) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IA 7308) |
| 1223G0001X Dentist General Practice (Licence: IA 4870) | |
| 1223G0001X Dentist General Practice (Licence: IA 08065) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-07-17 |