Organization
CENTRAL PARK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY A . LALA D.D.S. (OWNER)
(641) 423-4225
Entity
Organization
Contact information
Practice address
23 N FEDERAL AVE, MASON CITY, IA 50401-3250
(641) 423-4225
(641) 423-1697
Mailing address
23 N FEDERAL AVE, MASON CITY, IA 50401-3250
(641) 423-4225
(641) 423-1697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07322
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094094
—
IA
Enumeration date
07/21/2006
Last updated
08/22/2020
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