| NPI | 1871682807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY R DAVIDSON Doctor/Partner 319-337-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07767) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-11-21 |