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Organization
KNX DENTAL ENTERPRISES, LLC
Active
Organization
KNX DENTAL ENTERPRISES, LLC
Active
Other names
Dental Designs
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLAY DDS (OWNER)
(515) 573-7601
Entity
Organization
Contact information
Practice address
1905 N 15TH ST, FORT DODGE, IA 50501-7604
(515) 573-7601
Mailing address
401 E ROBINSON ST, KNOXVILLE, IA 50138-2004
(641) 828-8778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223G0001
—
IA
05
—
193400000
—
IA
05
—
193400000X
—
IA
Enumeration date
07/13/2021
Last updated
07/13/2021
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