Organization
RW KOLARICH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER KOLARICH DDS (PRESIDENT)
(563) 864-7818
Entity
Organization
Contact information
Practice address
111 E TILDEN ST, POSTVILLE, IA 52162-9700
(563) 864-7818
Mailing address
111 E TILDEN, POSTVILLE, IA 52162-0635
(563) 864-7818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6515
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169227
—
IA
01
—
169227
DELTA DENTAL
IA
Enumeration date
06/03/2008
Last updated
06/03/2008
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