| NPI | 1871753236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN GENETTE BIGELOW OSWALD Owner Dentist 515-462-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08225) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |