| Advanced Periodontics Center | |
|
320 Mckenzie Ave Suite 207 Council Bluffs IA 51503-1002 | |
| (712) 435-0992 | |
| (402) 552-2330 |
| Full Name | Advanced Periodontics Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 320 Mckenzie Ave, Council Bluffs, Iowa |
| Authorized Official Name and Position | Sima Zitouni (PERIODONTIST) |
| Authorized Official Contact | 4026519341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Periodontics Center Po Box 189 Council Bluffs IA 51502-0189 Ph: (712) 435-0992 | Advanced Periodontics Center 320 Mckenzie Ave Suite 207 Council Bluffs IA 51503-1002 Ph: (712) 435-0992 |
| NPI Number | 1578095097 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578095097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (Iowa) | Primary |
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