Organization
DAGUE DENTAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLENE MARIE DAGUE DDS (OWNER)
(563) 357-4917
Entity
Organization
Contact information
Practice address
4711 N BRADY ST STE 5S, DAVENPORT, IA 52806-3955
(563) 386-9770
Mailing address
6446 CAVES RD, MAQUOKETA, IA 52060-9795
(563) 357-4917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083878896
—
IA
Enumeration date
10/23/2018
Last updated
10/23/2018
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