| NPI | 1942363411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PATRICK NIEGSCH Dentist And Partner 515-268-0516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IA 07994) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |