Organization
HINTZ FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERAD LYLE HINTZ DDS (PRESIDENT)
(515) 965-1653
Entity
Organization
Contact information
Practice address
319 N ANKENY BLVD, ANKENY, IA 50023-1711
(515) 965-1653
Mailing address
319 N ANKENY BLVD, ANKENY, IA 50023-1711
(515) 965-1653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08568
IA
122300000X
Dentist
08845
IA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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