| NPI | 1891566352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS PYFFEROEN Pediatric Dentist/Manager 515-232-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |