| Corridor Endodontics Pc | |
|
550 Pond View Dr Suite 2 North Liberty IA 52317-2507 | |
| (319) 459-1975 | |
| (319) 459-1977 |
| Full Name | Corridor Endodontics Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 550 Pond View Dr, North Liberty, Iowa |
| Authorized Official Name and Position | Ben Jorgensen (OWNER) |
| Authorized Official Contact | 3198009077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corridor Endodontics Pc 550 Pond View Dr Suite 2 North Liberty IA 52317-2507 Ph: (319) 459-1975 | Corridor Endodontics Pc 550 Pond View Dr Suite 2 North Liberty IA 52317-2507 Ph: (319) 459-1975 |
| NPI Number | 1326454042 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326454042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 09095 (Iowa) | Primary |
Corridor Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Pond View Dr Ste 2, North Liberty, IA 52317 Phone: 319-459-1975 | |
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