Organization
ROLLING HILLS DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS DRZYCIMSKI DDS (OWNER-DENTIST)
(515) 576-5786
Entity
Organization
Contact information
Practice address
2727 N 15TH ST, FORT DODGE, IA 50501-7203
(515) 576-5786
Mailing address
2727 N 15TH ST, PO BOX #1823, FORT DODGE, IA 50501-7203
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DDS-09354
IA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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