Organization
MORIARTY DENTAL GROUP, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO EDWARD MORIARTY DDS (MEMBER)
(515) 832-3034
Entity
Organization
Contact information
Practice address
803 OHIO ST, WEBSTER CITY, IA 50595-2850
(515) 832-3034
(515) 832-5096
Mailing address
803 OHIO ST, WEBSTER CITY, IA 50595-2850
(515) 832-3034
(515) 832-5096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7424
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065797
—
IA
Enumeration date
10/23/2006
Last updated
08/22/2020
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