| Dague Dental Solutions | |
|
4711 N Brady St Ste 5s Davenport IA 52806-3955 | |
| (563) 386-9770 | |
| Not Available |
| Full Name | Dague Dental Solutions |
|---|---|
| Speciality | Dentist |
| Location | 4711 N Brady St Ste 5s, Davenport, Iowa |
| Authorized Official Name and Position | Jolene Marie Dague (OWNER) |
| Authorized Official Contact | 5633574917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dague Dental Solutions 6446 Caves Rd Maquoketa IA 52060-9795 Ph: (563) 357-4917 | Dague Dental Solutions 4711 N Brady St Ste 5s Davenport IA 52806-3955 Ph: (563) 386-9770 |
| NPI Number | 1740756139 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740756139 | NPI | - | NPPES |
| 1083878896 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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