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Organization

LIBERTY FAMILY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER JOHN CASTER D.D.S. (MANAGER)
(319) 665-3773
Entity
Organization

Contact information

Practice address
2 HAWKEYE DR, SUITE 104, NORTH LIBERTY, IA 52317-8200
(319) 665-3773
Mailing address
2 HAWKEYE DR, SUITE 104, NORTH LIBERTY, IA 52317-8200

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
07445
IA

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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