| Aspen Dental Pop Ottumwa Pc | |
|
1255 Theatre Dr Ottumwa IA 52501-3772 | |
| (641) 954-3390 | |
| Not Available |
| Full Name | Aspen Dental Pop Ottumwa Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1255 Theatre Dr, Ottumwa, Iowa |
| Authorized Official Name and Position | Joseph Tesene (OWNER) |
| Authorized Official Contact | 6419543390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Pop Ottumwa Pc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Aspen Dental Pop Ottumwa Pc 1255 Theatre Dr Ottumwa IA 52501-3772 Ph: (641) 954-3390 |
| NPI Number | 1184132995 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 01/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184132995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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