Eagle Grove Family Dentistry Plc | |
306 W Broadway St Eagle Grove IA 50533-1712 | |
(515) 448-5022 | |
(515) 448-5537 |
Full Name | Eagle Grove Family Dentistry Plc |
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Speciality | Dentist |
Location | 306 W Broadway St, Eagle Grove, Iowa |
Authorized Official Name and Position | Mysty Shaver (OWNER/DENTIST) |
Authorized Official Contact | 5154485022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eagle Grove Family Dentistry Plc 306 W Broadway St Eagle Grove IA 50533-1712 Ph: (515) 448-5022 | Eagle Grove Family Dentistry Plc 306 W Broadway St Eagle Grove IA 50533-1712 Ph: (515) 448-5022 |
NPI Number | 1831566330 |
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Provider Enumeration Date | 09/01/2015 |
Last Update Date | 09/01/2015 |
Identifier | Type | State | Issuer |
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1831566330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 09192 (Iowa) | Primary |
Michael W. Moffitt Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 W Broadway St, Eagle Grove, IA 50533 Phone: 515-448-4852 Fax: 515-448-3533 |