Provider First Line Business Practice Location Address:
322 DENTAL SCIENCE BLDG. S445
Provider Second Line Business Practice Location Address:
S445
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:
319-335-7241
Provider Business Practice Location Address Fax Number:
319-335-7239
Provider Enumeration Date:
03/07/2011