| Dw Dental Llc | |
|
3549 11th Ave Council Bluffs IA 51501-5641 | |
| (712) 328-0708 | |
| (712) 328-8991 |
| Full Name | Dw Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3549 11th Ave, Council Bluffs, Iowa |
| Authorized Official Name and Position | Dillon Tyler Woods (OWNER) |
| Authorized Official Contact | 4026697536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dw Dental Llc 3549 11th Ave Council Bluffs IA 51501-5641 Ph: (712) 328-0708 | Dw Dental Llc 3549 11th Ave Council Bluffs IA 51501-5641 Ph: (712) 328-0708 |
| NPI Number | 1740005321 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740005321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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