Organization
MONTICELLO FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY R AITCHISON (OFFICE MANAGER)
(319) 465-3533
Entity
Organization
Contact information
Practice address
630 S MAIN ST, MONTICELLO, IA 52310-1709
(319) 465-3533
(319) 465-4947
Mailing address
630 S MAIN ST, PO BOX 416, MONTICELLO, IA 52310-1709
(319) 465-3533
(319) 465-4947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07230
IA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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