Organization
CORNERSTONE DENTAL OF CLIVE LLC
Active
Other names
Cornerstone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HUSSONG DDS (OWNER)
(515) 984-6001
Entity
Organization
Contact information
Practice address
11088 HICKMAN RD, CLIVE, IA 50325-3740
(515) 984-6001
Mailing address
1010 S 3RD ST STE 2A, POLK CITY, IA 50226-1181
(515) 984-6001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
02/04/2014
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