Organization
CLARINDA FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY D EWIGMAN DDS (PRINCIPAL)
(712) 542-5196
Entity
Organization
Contact information
Practice address
104 E WASHINGTON ST, CLARINDA, IA 51632-1611
(712) 542-5196
Mailing address
104 E WASHINGTON ST, CLARINDA, IA 51632-1611
(712) 542-5196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/06/2023
Last updated
08/03/2023
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