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Individual

DR. ROBERT W HURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3004 N 13TH ST, CARTER LAKE, IA 51510-1438
(712) 347-6151
(712) 847-0164
Mailing address
1026 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 328-8573

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6855
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07881
BLUE CROSS BLUE SHIELD
NE
01
20363
BLUE CROSS BLUE SHIELD
IA
05
2203638
IA
01
628884
UNITED CONCORDIA
Enumeration date
11/17/2005
Last updated
09/20/2011
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