| Croco Orthodontics P.l.c. | |
|
2451 Coral Ct Ste 2 Coralville IA 52241-2837 | |
| (319) 545-7600 | |
| (319) 545-7640 |
| Full Name | Croco Orthodontics P.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2451 Coral Ct Ste 2, Coralville, Iowa |
| Authorized Official Name and Position | Matthew A.t. Croco (OWNER) |
| Authorized Official Contact | 3195457600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Croco Orthodontics P.l.c. 2451 Coral Ct Ste 2 Coralville IA 52241-2837 Ph: (319) 545-7600 | Croco Orthodontics P.l.c. 2451 Coral Ct Ste 2 Coralville IA 52241-2837 Ph: (319) 545-7600 |
| NPI Number | 1275790735 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275790735 | NPI | - | NPPES |
| 0463018 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 08174 (Iowa) | Primary |
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