Organization
WESTERN IOWA DENTAL GROUP,PC
Active
Parent organization
WESTERN IOWA DENTAL GROUP, PC
Other names
Western Iowa Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN IOWA DENTAL GROUP, PC
Authorized official
BETTY KERGER (OFFICE MANAGER)
(712) 325-1544
Entity
Organization
Contact information
Practice address
10841 Q ST, SUITE 109, OMAHA, NE 68137-3543
(402) 339-4999
(402) 339-4991
Mailing address
10841 Q ST, SUITE 109, OMAHA, NE 68137-3543
(402) 339-4999
(402) 339-4991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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