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Organization
VITZTHUM FAMILY DENTISTRY
Active
Organization
VITZTHUM FAMILY DENTISTRY
Active
Other names
Ridgeway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX VITZTHUM DDS (DENTIST)
(515) 890-7989
Entity
Organization
Contact information
Practice address
1866 W RIDGEWAY AVE, WATERLOO, IA 50701-4546
(319) 235-0164
Mailing address
1866 W RIDGEWAY AVE, WATERLOO, IA 50701-4546
(319) 235-0164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013447515
NPPES
IA
01
—
1063039618
NPPES
IA
01
—
1467070060
NPPES
IA
01
—
1730673146
NPPES
IA
Enumeration date
07/18/2024
Last updated
07/18/2024
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