Provider First Line Business Practice Location Address:
405 DENTAL SCIENCE BLDG S
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:
52241-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-335-8232
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2006