Bridge City Dental, PC

NPI #1073122354 in Ottumwa, Iowa

Provider Information

NPI Number: 1073122354
Entity Type: Organization
Organization Name: Bridge City Dental, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 23, 2020
Last Updated: Jul 23, 2020

Practice Location

Address: 2427 NORTHGATE ST
City: Ottumwa
State: Iowa
ZIP Code: 52501-1144
Phone: (641) 684-4889

Authorized Official

Name: ERIC CHAD DE BOEF, DDS
Title: PRESIDENT
Phone: (641) 684-4889

Specialties & Taxonomy Codes

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

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