Organization
AGAPE DENTISTRY, PLC
Active
Other names
Addink & Van Es Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE KOELE (BUSINESS ADMINISTRATOR)
(712) 722-2618
Entity
Organization
Contact information
Practice address
159 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2618
(712) 722-2638
Mailing address
159 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2618
(712) 722-2638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739029
—
IA
Enumeration date
01/03/2007
Last updated
02/25/2008
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