Organization
OLYMPIC DENTISTRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT EUGENE LUDENS D.D.S. (OWNER)
(319) 234-3233
Entity
Organization
Contact information
Practice address
208 OLYMPIC DR, WATERLOO, IA 50701-5240
(319) 234-3233
(319) 234-3879
Mailing address
208 OLYMPIC DRIVE, WATERLOO, IA 50701-5240
(319) 234-3233
(319) 234-3879
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
07466
IA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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