Organization
MOBILEDENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD JOHN TAEGER (VICE PRESIDENT)
(319) 754-1527
Entity
Organization
Contact information
Practice address
313 E AGENCY RD STE 11, WEST BURLINGTON, IA 52655-2000
(319) 754-1527
(319) 758-0407
Mailing address
313 E AGENCY RD STE 11, WEST BURLINGTON, IA 52655-2000
(319) 754-1527
(319) 758-0407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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