Spring Park Oral And Maxillofacial Surgeons

NPI 1194784389 - Dentist - 1223S0112X

NPI Details
NPI 1194784389
Enumeration Date 03/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARTIE MARTIE
Position MANAGER
Phone (563) 243-4406
Fax (563) 243-8534
Practice Location
407 S 4TH ST
CLINTON IA, 52732-4512, US
Phone (563) 243-4406
Fax (563) 243-8534
Business Location
407 S 4TH ST
CLINTON IA, 52732-4512, US
Phone (563) 243-4406
Fax (563) 243-8534
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
Remove 1194784389 NPI Number
 

According to our database, Spring Park Oral And Maxillofacial Surgeons NPI is 1194784389, taxonomy code is 1223S0112X Spring Park Oral And Maxillofacial Surgeons physically located at 407 S 4th St, Clinton IA, 52732-4512. NPI Number 1033115704 has the healthcare provider type.

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1194784389 NPI number is provided on an as is basis without warranty of any kind. 1194784389 is maintained by the National Plan & Provider Enumeration System. The contents of Spring Park Oral And Maxillofacial Surgeons are for informational purposes only.