Northeast Iowa Dental Professional Corporation

NPI #1003919135 in Monona, Iowa

Provider Information

NPI Number: 1003919135
Entity Type: Organization
Organization Name: Northeast Iowa Dental Professional Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 6, 2006
Last Updated: Dec 18, 2008

Practice Location

Address: 101 FRANKLIN
City: Monona
State: Iowa
ZIP Code: 52159
Phone: (563) 539-4651

Authorized Official

Name: MRS. JUDY SUE KURTH
Title: OFFICE MANAGER
Phone: (563) 568-3983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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