Northeast Iowa Dental Professional Corporation

NPI #1720173990 in Waukon, Iowa

Provider Information

NPI Number
1720173990
Entity Type
Organization
Organization Name
Northeast Iowa Dental Professional Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 4, 2006
Last Updated
Dec 18, 2008

Practice Location

Address
18 1ST AVE NW
City
Waukon
State
Iowa
ZIP Code
52172
Phone
(563) 568-4528

Authorized Official

Name
MRS. JUDY SUE KURTH
Title
OFFICE MANAGER
Phone
(563) 568-4528

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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