Edp of Iowa PC
NPI #1720546476 in Sioux City, Iowa
Provider Information
- NPI Number
- 1720546476
- Entity Type
- Organization
- Organization Name
- Edp of Iowa PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EDP OF IOWA PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 12, 2019
- Last Updated
- Sep 16, 2019
Practice Location
- Address
- 4220 SERGEANT RD
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51106-4648
- Phone
- (312) 800-1270
Authorized Official
- Name
- ROSEANNE BRUNENKANT
- Title
- DIRECTOR OF INTEGRATIONS
- Phone
- (312) 937-3619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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