Heritage Creek Dental Llc

NPI 1033438957 - Dentist - 122300000X

NPI Details
NPI 1033438957
Enumeration Date 05/18/2010
Last Updated 05/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CLINTON SCOTT CLINTON
Position PRESIDENT
Phone (515) 278-2253
Fax (515) 278-2392
Practice Location
11088 HICKMAN RD
CLIVE IA, 50325-3740, US
Phone (515) 278-2253
Fax (515) 278-2392
Business Location
11088 HICKMAN RD
CLIVE IA, 50325-3740, US
Phone (515) 278-2253
Fax (515) 278-2392
Toxanomy
Taxonomy Code 122300000X
License State Iowa
License Number 08515
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According to our database, Heritage Creek Dental Llc NPI is 1033438957, taxonomy code is 122300000X and license number is 08515, license state is located at Iowa. Heritage Creek Dental Llc physically located at 11088 Hickman Rd, Clive IA, 50325-3740. NPI Number 1033115704 has the healthcare provider type.

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1033438957 NPI number is provided on an as is basis without warranty of any kind. 1033438957 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Creek Dental Llc are for informational purposes only.