Provider First Line Business Practice Location Address:
S306 DENTAL SCIENCE BUILDING
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52242-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-335-7435
Provider Business Practice Location Address Fax Number:
319-335-7351
Provider Enumeration Date:
01/04/2007