Organization
CEDAR VALLEY ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE PAIGE WINGROVE DDS (OWNER)
(319) 233-0803
Entity
Organization
Contact information
Practice address
209 BROOKERIDGE DR, WATERLOO, IA 50702-5703
(319) 233-0803
(319) 233-1945
Mailing address
209 BROOKERIDGE DR, WATERLOO, IA 50702-5703
(319) 233-0803
(319) 233-1945
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
08295
IA
Other
Enumeration date
05/20/2010
Last updated
10/20/2014
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