| NPI | 1891538484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY KLINK Business Manager 515-232-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |