Organization
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Active
Parent organization
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Other names
Family Dentistry Associates of Monona
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Authorized official
MRS. JUDY SUE KURTH (OFFICE MANAGER)
(563) 568-3983
Entity
Organization
Contact information
Practice address
101 FRANKLIN, MONONA, IA 52159
(563) 539-4651
(563) 539-4653
Mailing address
PO BOX 965, MONONA, IA 52159
(563) 539-4651
(563) 539-4653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
12/18/2008
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