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Organization
DR. CALDWELL'S DENTAL OFFICE
Active
Organization
DR. CALDWELL'S DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENITA H. CALDWELL D.D.S. (DENTIST)
(319) 351-3675
Entity
Organization
Contact information
Practice address
1756 5TH ST, CORALVILLE, IA 52241-1819
(319) 351-3675
(319) 351-3675
Mailing address
1756 5TH ST, CORALVILLE, IA 52241-1819
(319) 351-3675
(319) 351-3675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7108
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232058
—
IA
01
—
23205
WELLMARK
IA
01
—
232058
DELTA DENTAL OF IOWA
IA
Enumeration date
06/19/2008
Last updated
06/19/2008
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