Western Iowa Dental Group,pc

NPI 1073939799 - Dentist - 122300000X

NPI Details
NPI 1073939799
Enumeration Date 03/06/2014
Last Updated 03/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BETTY BETTY
Position OFFICE MANAGER
Phone (712) 325-1544
Fax (712) 325-0420
Practice Location
114 1/2 S 6TH ST
COUNCIL BLUFFS IA, 51501-4234, US
Phone (712) 325-1544
Fax (712) 325-0420
Business Location
1509 AVENUE G
COUNCIL BLUFFS IA, 51501-2516, US
Phone (712) 325-1544
Fax (712) 325-0420
Toxanomy
Taxonomy Code 122300000X
License State Iowa
License Number 07421
Remove 1073939799 NPI Number
 

According to our database, Western Iowa Dental Group,pc NPI is 1073939799, taxonomy code is 122300000X and license number is 07421, license state is located at Iowa. Western Iowa Dental Group,pc physically located at 114 1/2 S 6th St, Council Bluffs IA, 51501-4234. NPI Number 1033115704 has the healthcare provider type.

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1073939799 NPI number is provided on an as is basis without warranty of any kind. 1073939799 is maintained by the National Plan & Provider Enumeration System. The contents of Western Iowa Dental Group,pc are for informational purposes only.