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Organization

CHILDREN'S DENTAL CENTRE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAITLIN JOY HOOGEVEEN DDS (OWNER)
(712) 441-2807
Entity
Organization

Contact information

Practice address
164 S MAIN AVE, SIOUX CENTER, IA 51250-1536
(712) 722-5565
(712) 722-5566
Mailing address
PO BOX 228, SIOUX CENTER, IA 51250-0228
(712) 722-5565
(712) 722-5566

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS-09373
IA

Other

Enumeration date
08/15/2017
Last updated
08/15/2017
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