Organization
INDIANOLA FAMILY DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THEODORE LINDEBERG D.D.S. (OWNER)
(515) 961-0534
Entity
Organization
Contact information
Practice address
212 N BUXTON ST, INDIANOLA, IA 50125-2431
(515) 961-0534
(515) 961-0536
Mailing address
212 N BUXTON ST, INDIANOLA, IA 50125-2431
(515) 961-0534
(515) 961-0536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08581
IA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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