Eastern Iowa Periodontics, PC
NPI #1083947667 in Coralville, Iowa
Provider Information
- NPI Number
- 1083947667
- Entity Type
- Organization
- Organization Name
- Eastern Iowa Periodontics, PC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Sep 14, 2009
Practice Location
- Address
- 501 12TH AVE
- Address 2
- SUITE 202
- City
- Coralville
- State
- Iowa
- ZIP Code
- 52241-1774
- Phone
- (319) 351-5439
Authorized Official
- Name
- DR. ADRIENNE S GUNSTREAM, DDS, MS
- Title
- PERIODONTIST
- Phone
- (319) 351-5439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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