| NPI | 1871675611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DICK SIEVERS Executive Director 712-786-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-09-11 |