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Individual

DR. RESTITUTO LOUIE CHING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
322 S 13TH ST # 173, SAC CITY, IA 50583-1910
(712) 662-4766
(712) 662-4796
Mailing address
322 S 13TH ST # 173, SAC CITY, IA 50583-1910
(712) 662-4766
(712) 662-4796

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08230
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0291542
IA
01
08230
DELTA DENTAL
IA
05
1291542
IA
01
1607714
UNITED CONCORDIA
01
IA0100
UNITED HEALTH CARE
Enumeration date
12/07/2006
Last updated
07/08/2007
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