Eastern Iowa Periodontics, Pc

NPI 1083947667 - Dentist - 1223P0300X

NPI Details
NPI 1083947667
Enumeration Date 09/14/2009
Last Updated 09/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ADRIENNE S ADRIENNE
Position PERIODONTIST
Phone (319) 351-5439
Fax (319) 354-0491
Practice Location
501 12TH AVE
SUITE 202
CORALVILLE IA, 52241-1774, US
Phone (319) 351-5439
Fax (319) 354-0491
Business Location
501 12TH AVE
SUITE 202
CORALVILLE IA, 52241-1774, US
Phone (319) 351-5439
Fax (319) 354-0491
Toxanomy
Taxonomy Code 1223P0300X
License State Iowa
License Number 08614
Remove 1083947667 NPI Number
 

According to our database, Eastern Iowa Periodontics, Pc NPI is 1083947667, taxonomy code is 1223P0300X and license number is 08614, license state is located at Iowa. Eastern Iowa Periodontics, Pc physically located at 501 12th Ave, Coralville IA, 52241-1774. NPI Number 1033115704 has the healthcare provider type.

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1083947667 NPI number is provided on an as is basis without warranty of any kind. 1083947667 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Iowa Periodontics, Pc are for informational purposes only.