| Blair Ridge Dental | |
|
1700 Blairs Ferry Rd Hiawatha IA 52233-2033 | |
| (319) 396-3596 | |
| (319) 378-0546 |
| Full Name | Blair Ridge Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1700 Blairs Ferry Rd, Hiawatha, Iowa |
| Authorized Official Name and Position | Amy N Wilken-heying (OWNER) |
| Authorized Official Contact | 3193963596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Ridge Dental 1700 Blairs Ferry Rd Hiawatha IA 52233-2033 Ph: (319) 396-3596 | Blair Ridge Dental 1700 Blairs Ferry Rd Hiawatha IA 52233-2033 Ph: (319) 396-3596 |
| NPI Number | 1144617721 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144617721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DDS-08160 (Iowa) | Primary |
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