| Diamond Trail Dental | |
|
301 S. 4th St. Montezuma IA 50171-1031 | |
| (641) 623-5100 | |
| Not Available |
| Full Name | Diamond Trail Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 301 S. 4th St., Montezuma, Iowa |
| Authorized Official Name and Position | Eric Chad Deboef (PRESIDENT) |
| Authorized Official Contact | 6416733008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Trail Dental 107 High Ave E Oskaloosa IA 52577-2831 Ph: (641) 673-3008 | Diamond Trail Dental 301 S. 4th St. Montezuma IA 50171-1031 Ph: (641) 623-5100 |
| NPI Number | 1164761698 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164761698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Montezuma Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S 4th St, Montezuma, IA 50171 Phone: 641-623-5100 |