Organization
KNX DENTAL ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN O'NEILL (OWNER)
(608) 289-2540
Entity
Organization
Contact information
Practice address
112 S 1ST ST, KNOXVILLE, IA 50138-2511
(515) 573-7601
Mailing address
1905 N 15TH ST, FORT DODGE, IA 50501-7604
(515) 573-7601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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