NPI | 1871675611 |
---|---|
Entity Type | Organization |
Authorized Contact | DICK SIEVERS Executive Director 712-786-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
Additional Taxonomies | 124Q00000X Dental Hygienist |
251B00000X Case Management | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |