Organization
DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LYNN PEARCE (BUSINESS MANAGER)
(641) 394-2137
Entity
Organization
Contact information
Practice address
101 N BROADWAY AVE, NEW HAMPTON, IA 50659-1108
(641) 394-2137
(641) 394-2138
Mailing address
101 N BROADWAY AVE, NEW HAMPTON, IA 50659-1108
(641) 394-2137
(641) 394-2138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6997
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217075
—
IA
Enumeration date
05/16/2008
Last updated
05/16/2008
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