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 |