| NPI | 1902827041 |
|---|---|
| Doing Business As | INTEGRATED PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | KAREN KAY WOLF President/Owner 319-352-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IA 07945) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2019-12-10 |