| NPI | 1841457215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRADLEY GREINER Owner/President 515-285-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 6670) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |