Organization
ABBIE J OTTO DDS PC
Active
Other names
Downtown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBIE JO OTTO D.D.S. (OWNER)
(712) 368-4351
Entity
Organization
Contact information
Practice address
128 S MAIN ST, HOLSTEIN, IA 51025-5018
(712) 368-4351
Mailing address
1625 EAGLE AVE, HOLSTEIN, IA 51025-8051
(712) 898-6835
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DDS-09098
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245646801
—
IA
Enumeration date
08/02/2014
Last updated
08/02/2014
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