Organization
DENTAL CARE BY THE SQUARE
Active
Other names
Washington Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY F FLORYANOVICH DDS (OWNER)
(319) 653-3412
Entity
Organization
Contact information
Practice address
1051 WEST MADISON STREET, WASHINGTON, IA 52353
(319) 653-3412
(319) 653-5511
Mailing address
1051 WEST MADISON STREET, WASHINGTON, IA 52353
(319) 653-3412
(319) 653-5511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
305S00000X
Point of Service
8563
IA
Other
Enumeration date
07/21/2008
Last updated
03/01/2019
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