# APPLEWHITE DENTAL IOWA PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** APPLEWHITE DENTAL IOWA PC
- **Other names:** Lattner Prosthodontics and Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447810262
- **Legal business name:** APPLEWHITE DENTAL IOWA PC
- **Authorized official:** SHARON L LOSO (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (563) 582-1448

## Contact information

- **Practice address:** 3480 HILLCREST RD, DUBUQUE, IA 52002-3877
- **Practice address phone:** (563) 583-3788
- **Practice address fax:** (563) 556-0508
- **Mailing address:** 40 MAIN ST STE 100, DUBUQUE, IA 52001-7654
- **Mailing address phone:** (563) 582-1448
- **Mailing address fax:** (563) 726-7070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2019
- **Last updated:** 07/29/2019