| NPI | 1851302178 |
|---|---|
| Former Legal Business Name | KIMBALL AND BEECHER FAMILY DENTISTRY PLC |
| Entity Type | Organization |
| Authorized Contact | TRACY WOOD Exec. Director 319-235-6287 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2017-01-18 |