Organization
BRIDGE CITY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CHAD DE BOEF DDS (PRESIDENT)
(641) 684-4889
Entity
Organization
Contact information
Practice address
2427 NORTHGATE ST, OTTUMWA, IA 52501-1144
(641) 684-4889
Mailing address
2427 NORTHGATE ST, OTTUMWA, IA 52501-1144
(641) 684-4889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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