| NPI | 1982756623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN A. WEBER Partner 712-527-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 6921) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 5354) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |