Organization
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Active
Parent organization
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Other names
Waukon Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
Authorized official
MRS. JUDY SUE KURTH (OFFICE MANAGER)
(563) 568-4528
Entity
Organization
Contact information
Practice address
18 1ST AVE NW, WAUKON, IA 52172
(563) 568-4528
(563) 568-6144
Mailing address
18 1ST AVE NW, WAUKON, IA 52172
(563) 568-4528
(563) 568-6144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
12/18/2008
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