Organization
PEOSTA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN BARRETT REED D.D.S (DENTIST)
(563) 557-1563
Entity
Organization
Contact information
Practice address
8558 KAPP DR, PEOSTA, IA 52068-9759
(563) 557-1563
(563) 583-0581
Mailing address
8558 KAPP DR, PEOSTA, IA 52068-9759
(563) 557-1563
(563) 583-0581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08417
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493965
—
IA
Enumeration date
05/20/2008
Last updated
05/20/2008
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