| NPI | 1841324084 |
|---|---|
| Former Legal Business Name | FORT DODGE ORAL AND MAXILLOFACIAL SURGERY PC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SCHRAUTH Office Manager 515-576-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2017-12-29 |