Hawkeye Dental Creations

NPI #1649305921 in Moline, Illinois

Provider Information

NPI Number
1649305921
Entity Type
Organization
Organization Name
Hawkeye Dental Creations
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 23, 2007
Last Updated
Jun 25, 2008

Practice Location

Address
615 35TH AVENUE
City
Moline
ZIP Code
61265
Phone
(309) 762-3015

Authorized Official

Name
DR. JACQUELYN LEAH RICHARDSON, DDS
Title
PRESIDENT DENTIST
Phone
(309) 762-3015

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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