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Organization
HERITAGE CREEK DENTAL LLC
Active
Organization
HERITAGE CREEK DENTAL LLC
Active
Other names
Heritage Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON SCOTT TIMMERMAN D.D.S. (PRESIDENT)
(515) 783-7129
Entity
Organization
Contact information
Practice address
11088 HICKMAN RD, CLIVE, IA 50325-3740
(515) 278-2253
(515) 278-2392
Mailing address
11088 HICKMAN RD, CLIVE, IA 50325-3740
(515) 278-2253
(515) 278-2392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08515
IA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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