| NPI | 1891235768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VANDELLO President/General Dentist 319-235-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA DDS09008) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |