Organization
TIMOTHY J KREIFELS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J KREIFELS DDS (PRESIDENT)
(712) 243-3275
Entity
Organization
Contact information
Practice address
402 POPLAR ST, ATLANTIC, IA 50022-1250
(712) 243-3275
(712) 243-8024
Mailing address
402 POPLAR ST, ATLANTIC, IA 50022-1250
(712) 243-3275
(712) 243-8024
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6755
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190496
—
IA
Enumeration date
04/22/2008
Last updated
04/22/2008
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