Organization
DR. VANDELLO FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VANDELLO D.D.S. (PRESIDENT/GENERAL DENTIST)
(319) 235-0164
Entity
Organization
Contact information
Practice address
1047 THORNDALE AVE, WATERLOO, IA 50701-3349
(319) 235-0164
Mailing address
1047 THORNDALE AVE, WATERLOO, IA 50701-3349
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DDS09008
IA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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