Organization
RIVERBEND ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WAYNE EGGLESTON DDS, MS (OWNER)
(563) 209-9041
Entity
Organization
Contact information
Practice address
2550 MIDDLE ROAD, SUITE 101, BETTENDORF, IA 52722-3298
(563) 209-9041
(563) 209-9042
Mailing address
2550 MIDDLE ROAD, SUITE 101, BETTENDORF, IA 52722-3298
(563) 209-9041
(563) 209-9042
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
08284
IA
1223E0200X
Endodontics
09095
IA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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