Pediatric Dentristry of Coralville INC
NPI #1003823113 in Coralville, Iowa
Provider Information
- NPI Number
- 1003823113
- Entity Type
- Organization
- Organization Name
- Pediatric Dentristry of Coralville INC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 414 10TH AVE
- Address 2
- STE B
- City
- Coralville
- State
- Iowa
- ZIP Code
- 52241
- Phone
- (319) 338-7520
Authorized Official
- Name
- DR. POLLY IBEN, DDS
- Title
- OWNER
- Phone
- (319) 338-7520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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