Organization
DONA W. PRINCE DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI PITHAN (OFFICE MANAGER)
(712) 274-2228
Entity
Organization
Contact information
Practice address
4220 SERGEANT RD, SIOUX CITY, IA 51106-4648
(712) 274-2228
(712) 274-1362
Mailing address
4220 SERGEANT RD, SIOUX CITY, IA 51106-4648
(712) 274-2228
(712) 274-1362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187153
—
IA
Enumeration date
08/05/2007
Last updated
08/05/2007
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