| NPI | 1992962732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE J. STEWART Office Manager 319-366-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IA 08986) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-12-28 |