Organization
IOWA CENTRAL COMMUNITY COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE PIPER (PROGRAM COORDINATOR)
(515) 574-1335
Entity
Organization
Contact information
Practice address
330 AVENUE M, FORT DODGE, IA 50501-5739
(515) 574-1327
(515) 576-5656
Mailing address
330 AVENUE M, FORT DODGE, IA 50501-5739
(515) 574-1327
(515) 576-5656
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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