Organization
QUAD CITIES PERIODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RYAN FRANZMAN D.D.S., M.S. (OWNER)
(563) 344-4867
Entity
Organization
Contact information
Practice address
1800 E 54TH ST, SUITE A, DAVENPORT, IA 52807-2852
(563) 344-4867
(563) 344-0215
Mailing address
1800 E 54TH ST, SUITE A, DAVENPORT, IA 52807-2852
(563) 344-4867
(563) 344-0215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
08258
IA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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