Organization
EPWORTH FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM DAVID KISSELL (DOCTOR)
(563) 876-3396
Entity
Organization
Contact information
Practice address
255 BIERMAN RD, EPWORTH, IA 52045-9529
(563) 876-3396
(563) 876-3645
Mailing address
255 BIERMAN RD, P.O. BOX 285, EPWORTH, IA 52045-9529
(563) 876-3396
(563) 876-3645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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