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Organization

AESTHETIC & FAMILY DENTRISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON L MCCORMICK D.D.S. (PRESIDENT)
(712) 246-5587
Entity
Organization

Contact information

Practice address
119 S ELM ST, SHENANDOAH, IA 51601-1701
(712) 246-5587
Mailing address
119 S ELM ST, SHENANDOAH, IA 51601-1701
(712) 246-5587

Taxonomy

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

Other

Enumeration date
08/06/2008
Last updated
08/06/2008
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