Organization
HERITAGE CREEK DENTAL LLC
Active
Other names
Heritage Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON SCOTT TIMMERMAN D.D.S. (PRESIDENT)
(515) 783-7129
Entity
Organization
Contact information
Practice address
11088 HICKMAN RD, CLIVE, IA 50325-3740
(515) 278-2253
(515) 278-2392
Mailing address
11088 HICKMAN RD, CLIVE, IA 50325-3740
(515) 278-2253
(515) 278-2392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08515
IA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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