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Organization
GENTLE FAMILY DENTISTS
Active
Organization
GENTLE FAMILY DENTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L MORENO DDS (OWNER)
(319) 627-2612
Entity
Organization
Contact information
Practice address
1205 N COLUMBUS ST, WEST LIBERTY, IA 52776-9601
(319) 627-2612
(319) 627-2178
Mailing address
1205 N COLUMBUS ST, WEST LIBERTY, IA 52776-9601
(319) 627-2612
(319) 627-2178
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6899
IA
Other
Enumeration date
05/15/2008
Last updated
01/09/2013
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