Organization
ABLM NORTHEAST PROFESIONAL ASSOCIATION
Active
Other names
ABLM Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN C. VORE DDS (PARTNER)
(319) 235-1151
Entity
Organization
Contact information
Practice address
2116 LOGAN AVE, WATERLOO, IA 50703-1006
(319) 235-1151
(319) 235-2804
Mailing address
2116 LOGAN AVE, WATERLOO, IA 50703-1006
(319) 235-1151
(319) 235-2804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008052
—
IA
Enumeration date
11/30/2006
Last updated
08/22/2020
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