Organization
EASTERN IOWA PERIODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE S GUNSTREAM DDS, MS (PERIODONTIST)
(319) 351-5439
Entity
Organization
Contact information
Practice address
501 12TH AVE, SUITE 202, CORALVILLE, IA 52241-1774
(319) 351-5439
(319) 354-0491
Mailing address
501 12TH AVE, SUITE 202, CORALVILLE, IA 52241-1774
(319) 351-5439
(319) 354-0491
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
08614
IA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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