Organization
BYLSMA-MULDER FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FONDA HULSTEIN (OFFICE MANAGER)
(712) 722-2633
Entity
Organization
Contact information
Practice address
159 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2633
Mailing address
159 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7596
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091488
—
IA
Enumeration date
01/10/2017
Last updated
01/10/2017
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