Organization
DR. RICHARD C. APODACA, PC
Active
Other names
Earlham Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C. APODACA DDS (OWNER/DENTIST)
(515) 758-2323
Entity
Organization
Contact information
Practice address
110 S. CHESTNUT AVE, EARLHAM, IA 50072-0190
(515) 758-2323
(515) 758-3031
Mailing address
110 S. CHESTNUT AVE PO BOX 190, EARLHAM, IA 50072-0190
(515) 758-2323
(515) 758-3031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518937184
NPI INDIVIDUAL PROVIDER #
IA
Enumeration date
06/03/2008
Last updated
10/24/2018
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