| Eastern Iowa Periodontics, Pc | |
|
501 12th Ave Suite 202 Coralville IA 52241-1774 | |
| (319) 351-5439 | |
| (319) 354-0491 |
| Full Name | Eastern Iowa Periodontics, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 501 12th Ave, Coralville, Iowa |
| Authorized Official Name and Position | Adrienne S Gunstream (PERIODONTIST) |
| Authorized Official Contact | 3193515439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Iowa Periodontics, Pc 501 12th Ave Suite 202 Coralville IA 52241-1774 Ph: (319) 351-5439 | Eastern Iowa Periodontics, Pc 501 12th Ave Suite 202 Coralville IA 52241-1774 Ph: (319) 351-5439 |
| NPI Number | 1083947667 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 09/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083947667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 08614 (Iowa) | Primary |
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