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Organization
CORNERSTONE DENTAL OF POLK CITY LLC
Active
Organization
CORNERSTONE DENTAL OF POLK CITY LLC
Active
Other names
Cornerstone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HUSSONG DDS (OWNER)
(515) 984-6001
Entity
Organization
Contact information
Practice address
1010 S 3RD ST STE 2A, POLK CITY, IA 50226-1181
(515) 984-6001
(515) 984-6707
Mailing address
1010 S 3RD ST STE 2A, POLK CITY, IA 50226-1181
(515) 984-6001
(515) 984-6707
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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