Organization
CEDAR DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAYTON LAFFERTY DDS (DENTIST)
(641) 736-4302
Entity
Organization
Contact information
Practice address
312 W 4TH ST, ST. ANSGAR, IA 50472-0069
(641) 736-4302
(641) 736-2111
Mailing address
312 W 4TH ST, PO BOX 69, ST. ANSGAR, IA 50472-0069
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
05940
IA
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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