| Organization Name: | MICHAEL W. BARBA |
| NPI Number: | 1114009255 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL WAYNE BARBA (OWNER/ORTHODONTIST) |
| Mailing Address: | 1453 4th St Se Suite A Mason City |
| State: | IA US |
| Postal Code: | 504014437 |
| Phone Number: | 6414232172 |
| Fax Number: | 6414214166 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 7089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |