Provider First Line Business Practice Location Address: 
322 DENTAL SCIENCE 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: 
52242-1001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
319-384-1139
    Provider Business Practice Location Address Fax Number: 
319-384-1785
    Provider Enumeration Date: 
05/08/2013