Organization
SB IOWA DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHACHINDRA BAHADUR (OWNER)
(515) 576-6656
Entity
Organization
Contact information
Practice address
2953 5TH AVE S, FORT DODGE, IA 50501-2923
(515) 576-6656
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
06/21/2023
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