Organization
KLISE DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEC JAMES KLISE D.D.S. (OWNER)
(515) 848-3691
Entity
Organization
Contact information
Practice address
1008 W PLEASANT ST, PLEASANTVILLE, IA 50225-9546
(515) 848-3691
Mailing address
1008 W PLEASANT ST, PLEASANTVILLE, IA 50225-9546
(515) 848-3691
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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