| NPI | 1902979735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD KERSTING Owner 563-386-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06799) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-08-27 |