Organization
WALSWORTH FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL M WALSWORTH DDS (OWNER)
(319) 352-5281
Entity
Organization
Contact information
Practice address
121 20TH ST NW, WAVERLY, IA 50677-2059
(319) 352-5281
(319) 352-0509
Mailing address
121 20TH ST NW, WAVERLY, IA 50677-2059
(319) 352-5281
(319) 352-0509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08370
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08370
LICENSE NUMBER
IA
Enumeration date
07/06/2017
Last updated
07/21/2022
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