| Central Park Dentistry | |
|
23 N Federal Ave Mason City IA 50401-3250 | |
| (641) 423-4225 | |
| (641) 423-1697 |
| Full Name | Central Park Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23 N Federal Ave, Mason City, Iowa |
| Authorized Official Name and Position | Jay A . Lala (OWNER) |
| Authorized Official Contact | 6414234225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Park Dentistry 23 N Federal Ave Mason City IA 50401-3250 Ph: (641) 423-4225 | Central Park Dentistry 23 N Federal Ave Mason City IA 50401-3250 Ph: (641) 423-4225 |
| NPI Number | 1427079201 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427079201 | NPI | - | NPPES |
| 0094094 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07322 (Iowa) | Primary |
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