Organization
INDIANOLA PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA FOX DDS (OWNER)
(515) 808-7000
Entity
Organization
Contact information
Practice address
2001 N 6TH ST, INDIANOLA, IA 50125-4873
(319) 283-0284
Mailing address
2001 N 6TH ST, INDIANOLA, IA 50125-4873
(515) 808-7000
(515) 808-7001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
01/12/2020
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