Familia Dental Davenport LLC

NPI #1205287067 in Davenport, Iowa

Provider Information

NPI Number
1205287067
Entity Type
Organization
Organization Name
Familia Dental Davenport LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 23, 2016
Last Updated
Jun 24, 2021

Practice Location

Address
3301 W KIMBERLY RD STE 5
State
Iowa
ZIP Code
52806-3047
Phone
(888) 988-4066

Authorized Official

Name
MR. BRANDON ALEXANDER TAYLOR, CPCS
Title
CREDENTALING & PAYER RELATIONS MGR
Phone
(847) 453-7396

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist - General PracticeGeneral Practice

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