Organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Active
Parent organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Other names
Panora Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Authorized official
LINDSAY BEARDEN (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
611 E MAIN ST, PANORA, IA 50216-1097
(641) 755-3626
Mailing address
611 E MAIN ST, PANORA, IA 50216-1097
(641) 755-3626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
02/10/2014
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