Organization
CLINTON DENTAL SURGERY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M ALT DDS (CORPORATE V.P. AND SEC)
(563) 242-1565
Entity
Organization
Contact information
Practice address
2314 N 2ND ST, CLINTON, IA 52732-2434
(563) 242-1565
(563) 242-0095
Mailing address
2314 N 2ND ST, CLINTON, IA 52732-2434
(563) 242-1565
(563) 242-0095
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
06659
IA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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