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Organization
LZP DENTAL ENTERPRISES, LLC
Active
Organization
LZP DENTAL ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CARLSON (REGIONAL OFFICE MANAGER)
(515) 573-7601
Entity
Organization
Contact information
Practice address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(712) 335-3521
Mailing address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(712) 335-3521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223G0001X
—
IA
Enumeration date
08/31/2021
Last updated
08/31/2021
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