Organization
HENNESSEY FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE NORENE HENNESSEY DDS (OWNER)
(319) 266-1906
Entity
Organization
Contact information
Practice address
9219 UNIVERSITY AVE, CEDAR FALLS, IA 50613-9150
(319) 266-1906
(319) 266-1411
Mailing address
9219 UNIVERSITY AVE, CEDAR FALLS, IA 50613-9150
(319) 266-1906
(319) 266-1411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07647
IA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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