| NPI | 1881129906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY LYNN WILLIAMS Dental Hygiene Program Director 641-683-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |