Organization
THE CHILDREN'S DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODIE HARGROVE (OFFICE MANAGER)
(319) 626-5437
Entity
Organization
Contact information
Practice address
2761 OAKDALE BLVD STE 4, CORALVILLE, IA 52241-9754
(319) 626-5437
(319) 626-2301
Mailing address
2761 OAKDALE BLVD STE 4, CORALVILLE, IA 52241-9754
(319) 626-5437
(319) 626-2301
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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