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Organization
DR. RICHARD C. APODACA, PC
Active
Organization
DR. RICHARD C. APODACA, PC
Active
Other names
Earlham Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C. APODACA DDS (OWNER/DENTIST)
(515) 758-2323
Entity
Organization
Contact information
Practice address
110 S. CHESTNUT AVE, EARLHAM, IA 50072-0190
(515) 758-2323
(515) 758-3031
Mailing address
110 S. CHESTNUT AVE PO BOX 190, EARLHAM, IA 50072-0190
(515) 758-2323
(515) 758-3031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518937184
NPI INDIVIDUAL PROVIDER #
IA
Enumeration date
06/03/2008
Last updated
10/24/2018
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