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Organization

OTTO AND KOTECKI FAMILY DENTISTRY PLC

Active
Other names
Weber and Otto Family Dentistry PLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JERALYN G. HUISMAN (PRACTICE COORDINATOR)
(641) 424-6461
Entity
Organization

Contact information

Practice address
24 S HAWKEYE, NORA SPRINGS, IA 50458-7703
(641) 749-5430
(641) 749-5779
Mailing address
24 S HAWKEYE, NORA SPRINGS, IA 50458-7703
(641) 749-5430
(641) 749-5779

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
06834
IA
122300000X
Dentist
Primary
08229
IA
122300000X
Dentist
08654
IA

Other

Enumeration date
10/06/2009
Last updated
06/15/2023
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