| NPI | 1992799811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P WILLIAMS President 563-557-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |