Organization
DESIGN DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIN-ING JEREMY TU DDS (OWNER)
(319) 626-2222
Entity
Organization
Contact information
Practice address
115 N. HWY 965, NORTH LIBERTY, IA 52317
(319) 626-2222
(319) 626-6610
Mailing address
115 N. HWY 965, PO BOX 915, NORTH LIBERTY, IA 52317
(319) 626-2222
(319) 626-6610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
207719
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279349
—
IA
01
—
1790871531
NPI
IA
Enumeration date
02/17/2016
Last updated
02/17/2016
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