Organization
BENJAMIN R. SQUIRES, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ROBERT SQUIRES (OWNER)
(319) 233-6177
Entity
Organization
Contact information
Practice address
3308 KIMBALL AVE, WATERLOO, IA 50702-5758
(319) 233-6177
(319) 234-3906
Mailing address
3308 KIMBALL AVE, WATERLOO, IA 50702-5758
(319) 233-6177
(319) 234-3906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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