Earlham Family Dentistry | |
110 S. Chestnut Ave Earlham IA 50072-0190 | |
(515) 758-2323 | |
(515) 758-3031 |
Full Name | Earlham Family Dentistry |
---|---|
Speciality | Dentist |
Location | 110 S. Chestnut Ave, Earlham, Iowa |
Authorized Official Name and Position | Richard C. Apodaca (OWNER/DENTIST) |
Authorized Official Contact | 5157582323 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Earlham Family Dentistry 110 S. Chestnut Ave Po Box 190 Earlham IA 50072-0190 Ph: (515) 758-2323 | Earlham Family Dentistry 110 S. Chestnut Ave Earlham IA 50072-0190 Ph: (515) 758-2323 |
NPI Number | 1427217686 |
---|---|
Provider Enumeration Date | 06/03/2008 |
Last Update Date | 10/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427217686 | NPI | - | NPPES |
1518937184 | Other | IA | NPI INDIVIDUAL PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |