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Organization

SLOAN FAMILY DENTISTRY

Active
Parent organization
SERGEANT BLUFF DENTAL, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SERGEANT BLUFF DENTAL, PLLC
Authorized official
DR. RICHARD KEITH BOKEMPER (OWNER)
(712) 943-4242
Entity
Organization

Contact information

Practice address
320 4TH ST, BOX P, SLOAN, IA 51055-7702
(712) 428-4242
Mailing address
320 4TH ST, BOX P, SLOAN, IA 51055-7702
(712) 428-4242

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/09/2008
Last updated
04/15/2010
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