| Dentistry For Children Of Iowa 2, Pllc | |
|
1738 Lininger Ln North Liberty IA 52317-2316 | |
| (319) 665-2573 | |
| Not Available |
| Full Name | Dentistry For Children Of Iowa 2, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1738 Lininger Ln, North Liberty, Iowa |
| Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6782444844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of Iowa 2, Pllc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: (770) 692-1000 | Dentistry For Children Of Iowa 2, Pllc 1738 Lininger Ln North Liberty IA 52317-2316 Ph: (319) 665-2573 |
| NPI Number | 1457996365 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457996365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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Corridor Endodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Pond View Dr, Suite 2, North Liberty, IA 52317 Phone: 319-459-1975 Fax: 319-459-1977 | |
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