| NPI | 1861663601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE L. BOBINET Dentist 641-732-3293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07670) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2012-03-05 |