Pediatric Dentristry Of Coralville Inc

NPI 1003823113 - Dentist - 1223P0221X

NPI Details
NPI 1003823113
Enumeration Date 08/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name POLLY POLLY
Position OWNER
Phone (319) 338-7520
Fax (319) 351-5730
Practice Location
414 10TH AVE
STE B
CORALVILLE IA, 52241, US
Phone (319) 338-7520
Fax (319) 351-5730
Business Location
414 10TH AVE
STE B
CORALVILLE IA, 52241, US
Phone (319) 338-7520
Fax (319) 351-5730
Toxanomy
Taxonomy Code 1223P0221X
License State Iowa
License Number 07894
Remove 1003823113 NPI Number
 

According to our database, Pediatric Dentristry Of Coralville Inc NPI is 1003823113, taxonomy code is 1223P0221X and license number is 07894, license state is located at Iowa. Pediatric Dentristry Of Coralville Inc physically located at 414 10th Ave, Coralville IA, 52241. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003823113 NPI number is provided on an as is basis without warranty of any kind. 1003823113 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Dentristry Of Coralville Inc are for informational purposes only.