Cornerstone Dental of Clive LLC

NPI #1285056382 in Clive, Iowa

Provider Information

NPI Number: 1285056382
Entity Type: Organization
Organization Name: Cornerstone Dental of Clive LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 9, 2014
Last Updated: Feb 4, 2014

Practice Location

Address: 11088 HICKMAN RD
City: Clive
State: Iowa
ZIP Code: 50325-3740
Phone: (515) 984-6001

Authorized Official

Name: DR. RYAN HUSSONG, DDS
Title: OWNER
Phone: (515) 984-6001

Specialties & Taxonomy Codes

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

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