Cornerstone Dental | |
11088 Hickman Rd Clive IA 50325-3740 | |
(515) 984-6001 | |
Not Available |
Full Name | Cornerstone Dental |
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Speciality | Clinic/center - Dental |
Location | 11088 Hickman Rd, Clive, Iowa |
Authorized Official Name and Position | Ryan Hussong (OWNER) |
Authorized Official Contact | 5159846001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cornerstone Dental 1010 S 3rd St Ste 2a Polk City IA 50226-1181 Ph: (515) 984-6001 | Cornerstone Dental 11088 Hickman Rd Clive IA 50325-3740 Ph: (515) 984-6001 |
NPI Number | 1285056382 |
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Provider Enumeration Date | 01/09/2014 |
Last Update Date | 02/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285056382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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