| NPI | 1962534446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DAVID LEMON President 515-221-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IA 8032) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2010-07-22 |