Individual
DR. PETER L. VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
160 W 4TH ST, GARNER, IA 50438-1329
(641) 923-2294
(641) 923-3140
Mailing address
160 W 4TH ST, P. O. BOX 10, GARNER, IA 50438-1329
(641) 923-2294
(641) 923-3140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6152
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132209
—
IA
Enumeration date
01/09/2007
Last updated
03/18/2022
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