Organization
REINBECK FAMILY DENTAL
Active
Other names
Douglas H Koele DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS H KOELE DDS (OWNER)
(319) 345-6667
Entity
Organization
Contact information
Practice address
501 MAIN ST, STE 2, REINBECK, IA 50669
(319) 345-6667
(319) 345-2449
Mailing address
501 MAIN ST, STE 2, REINBECK, IA 50669
(319) 345-6667
(319) 345-2449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06330
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150771
—
IA
Enumeration date
06/17/2008
Last updated
06/17/2008
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