Organization
WESTERN IOWA DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY JOANN KERGER (OFFICE MANAGER)
(712) 325-1544
Entity
Organization
Contact information
Practice address
1509 AVENUE G, COUNCIL BLUFFS, IA 51501-2516
(712) 325-1544
(712) 325-0420
Mailing address
1509 AVENUE G, COUNCIL BLUFFS, IA 51501-2516
(712) 325-1544
(712) 325-0420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
06/12/2019
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