Organization
SMILE DOCTORS OF IOWA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GOGGANS (CFO)
(254) 727-3131
Entity
Organization
Contact information
Practice address
1453 4TH ST SE, MASON CITY, IA 50401-4431
(641) 423-5900
Mailing address
PO BOX 674434, DALLAS, TX 75267-4434
(254) 727-3131
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
05/04/2022
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