Southwest Iowa Dental Associates INC

NPI #1013215805 in Shenandoah, Iowa

Provider Information

NPI Number: 1013215805
Entity Type: Organization
Organization Name: Southwest Iowa Dental Associates INC
Primary Specialty: Dentist
Enumeration Date: Mar 3, 2011
Last Updated: Jan 29, 2020

Practice Location

Address: 1213 W NISHNA RD
City: Shenandoah
State: Iowa
ZIP Code: 51601-2115
Phone: (712) 246-2180

Authorized Official

Name: JILLIAN TRAVIS
Title: OWNER
Phone: (712) 246-2180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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