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Organization

LAWHEAD FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA S ODEGARD (OFFICE SUPPORT)
(563) 263-8034
Entity
Organization

Contact information

Practice address
315 SYCAMORE ST, MUSCATINE, IA 52761-3824
(563) 263-8034
(563) 288-1653
Mailing address
315 SYCAMORE ST, MUSCATINE, IA 52761-3824
(563) 263-8034
(563) 288-1653

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/25/2019
Last updated
02/25/2019
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