NPI | 1922253087 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA J SMITH President 563-886-2752 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07067) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2008-11-17 |