Organization
C.G.EGELAND,D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G EGELAND D.D.S (OWNER)
(515) 232-4236
Entity
Organization
Contact information
Practice address
1015 DUFF AVE, MEDICAL ARTS BLDG., AMES, IA 50010-5733
(515) 232-4236
(515) 232-4267
Mailing address
1015 DUFF AVE, MEDICAL ARTS BLDG., AMES, IA 50010-5733
(515) 232-4236
(515) 232-4267
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5494
IA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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