Organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Active
Parent organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Other names
Dental Professionals
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
200 N B ST, INDIANOLA, IA 50125-2429
(515) 961-8411
Mailing address
200 N B ST, INDIANOLA, IA 50125-2429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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