| NPI | 1962811091 |
|---|---|
| Doing Business As | DOWNTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | ABBIE JO OTTO Owner 712-368-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IA DDS-09098) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2014-08-02 |