Organization
PHILLIP T. IERO, M.D.,D.D.S., PC
Active
Other names
Institute of Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE ANN SCHMALTZ (PRACTICE MANAGER)
70125540000
Entity
Organization
Contact information
Practice address
416 N 6TH ST, BISMARCK, ND 58501-4416
(701) 255-4000
(701) 255-1992
Mailing address
416 N 6TH ST, BISMARCK, ND 58501-4416
(701) 255-4000
(701) 255-1992
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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