Hill Avenue Dental LLC
NPI #1376303503 in Spirit Lake, Iowa
Provider Information
- NPI Number
- 1376303503
- Entity Type
- Organization
- Organization Name
- Hill Avenue Dental LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VIDENTA, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 22, 2024
- Last Updated
- Mar 22, 2024
Practice Location
- Address
- 1510 HILL AVE STE D
- City
- Spirit Lake
- State
- Iowa
- ZIP Code
- 51360-1676
- Phone
- (712) 336-4895
Authorized Official
- Name
- LUCAS BLAND
- Title
- COO
- Phone
- (515) 577-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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