Organization
LE MARS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS MATTHEW VAN ROEKEL DDS (OWNER/DENTIST)
(712) 546-5183
Entity
Organization
Contact information
Practice address
1311 HAWKEYE AVE SW, LE MARS, IA 51031-1866
(712) 546-5183
Mailing address
1311 HAWKEYE AVE SW, LE MARS, IA 51031-1866
(712) 546-5183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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