| NPI | 1962669341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L KROTZ-DIELEMAN President 319-653-4298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 07384) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |