| NPI | 1871626838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY V WINEGARDEN Orthodontist President 319-396-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IA 5806) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |