Epworth Family Dentistry PC

NPI #1124344742 in Epworth, Iowa

Provider Information

NPI Number: 1124344742
Entity Type: Organization
Organization Name: Epworth Family Dentistry PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 8, 2010
Last Updated: Apr 8, 2010

Practice Location

Address: 208 N CENTER AVE
City: Epworth
State: Iowa
ZIP Code: 52045-7741
Phone: (563) 876-3396

Authorized Official

Name: DR. KIM DAVID KISSELL, DDS
Title: PRESIDENT
Phone: (563) 876-3396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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