Organization
NEVADA FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ALLEN LEINEN D.D.S. (DOCTOR)
(515) 382-6960
Entity
Organization
Contact information
Practice address
936 7TH ST, NEVADA, IA 50201-2104
(515) 382-6960
Mailing address
936 7TH ST, NEVADA, IA 50201-2104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8260
IA
1223G0001X
General Practice Dentistry
8918
IA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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