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Organization

FAMILY FIRST DENTAL OF PRIMGHAR PC

Active
Other names
Primghar Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEAN E IRWIN DDS (DENTIST)
(712) 957-2460
Entity
Organization

Contact information

Practice address
135 1ST STREET NW, BOX 278, PRIMGHAR, IA 51245
(712) 957-2460
Mailing address
BOX 278, 135 1ST STREET NW, PRIMGHAR, IA 51245
(712) 957-2460
(712) 957-1013

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06326
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1152553
IA
Enumeration date
08/25/2006
Last updated
08/22/2020
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