| NPI | 1841458981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA WATTNEM Office Manager 319-365-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |