Quad Cities Periodontics, Llc

NPI 1013184217 - Clinic/Center - 261QD0000X

NPI Details
NPI 1013184217
Enumeration Date 05/15/2008
Last Updated 05/15/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL RYAN MICHAEL
Position OWNER
Phone (563) 344-4867
Fax (563) 344-0215
Practice Location
1800 E 54TH ST
SUITE A
DAVENPORT IA, 52807-2852, US
Phone (563) 344-4867
Fax (563) 344-0215
Business Location
1800 E 54TH ST
SUITE A
DAVENPORT IA, 52807-2852, US
Phone (563) 344-4867
Fax (563) 344-0215
Toxanomy
Taxonomy Code 261QD0000X
License State Iowa
License Number 08258
Remove 1013184217 NPI Number
 

According to our database, Quad Cities Periodontics, Llc NPI is 1013184217, taxonomy code is 261QD0000X and license number is 08258, license state is located at Iowa. Quad Cities Periodontics, Llc physically located at 1800 E 54th St, Davenport IA, 52807-2852. NPI Number 1033115704 has the healthcare provider type.

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1013184217 NPI number is provided on an as is basis without warranty of any kind. 1013184217 is maintained by the National Plan & Provider Enumeration System. The contents of Quad Cities Periodontics, Llc are for informational purposes only.