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Organization
LECHTENBERG DENTAL CLINIC
Active
Organization
LECHTENBERG DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A LECHTENBERG JR. DDS (GENERAL DENTIST)
(563) 652-3438
Entity
Organization
Contact information
Practice address
129 W PLEASANT ST, MAQUOKETA, IA 52060-3046
(563) 652-3438
(563) 652-0138
Mailing address
129 W PLEASANT ST, MAQUOKETA, IA 52060-3046
(563) 652-3438
(563) 652-0138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7451
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080440
—
IA
01
—
07318
WELLMARK
—
01
—
841612
UNITED CONCORDIA
—
Enumeration date
05/21/2008
Last updated
05/21/2008
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