Organization
CORAL WEST DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFEREY EDWARD RUBEL D.D.S (OWNER)
(319) 545-2345
Entity
Organization
Contact information
Practice address
2575 CORAL CT, CORALVILLE, IA 52241-2811
(319) 545-2345
(319) 545-2349
Mailing address
2575 CORAL COURT, CORALVILLE, IA 52241
(319) 545-2345
(319) 545-2349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285676
—
IA
Enumeration date
10/02/2006
Last updated
10/20/2023
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