Organization
UPLIFT FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA KUCIREK DDS (DENTIST OWNER)
(712) 623-5404
Entity
Organization
Contact information
Practice address
1700 E SUMMIT ST, RED OAK, IA 51566-1711
(712) 623-5404
(712) 623-5231
Mailing address
101 NORTHWEST RD, IMOGENE, IA 51645-4047
(402) 881-9378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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