Organization
ELITE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ANN KOCH-WOMER D.D.S. (BUSINESS OWNER)
(563) 875-8386
Entity
Organization
Contact information
Practice address
1410 9TH ST SE, DYERSVILLE, IA 52040-2335
(563) 875-8386
(563) 875-8386
Mailing address
1410 9TH ST SE, DYERSVILLE, IA 52040-2335
(563) 875-8386
(563) 875-8386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08093
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274142
—
IA
Enumeration date
03/27/2007
Last updated
08/22/2020
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