Organization
HERITAGE CREEK DENTAL OF ALBIA LLC
Active
Other names
Heritage Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON SCOTT TIMMERMAN DDS (PRESIDENT/DENTIST)
(641) 932-2729
Entity
Organization
Contact information
Practice address
26 S MAIN ST, ALBIA, IA 52531-2041
(641) 932-2729
Mailing address
26 S MAIN ST, ALBIA, IA 52531-2041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08515
IA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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