Organization
RONCONI DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOUIS RONCONI DDS FAGD (OWNER)
(515) 573-4044
Entity
Organization
Contact information
Practice address
130 N 9TH ST, FORT DODGE, IA 50501
(515) 573-4044
Mailing address
130 N 9TH ST, FORT DODGE, IA 50501
(515) 573-4044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06982
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217737
—
IA
Enumeration date
11/28/2006
Last updated
08/22/2020
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