| NPI | 1932376308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BENNETT MOORE Owner 641-456-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 06306) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |