| Edp Of Iowa Pc | |
|
110 N 1st St Marshalltown IA 50158-5804 | |
| (641) 752-3337 | |
| Not Available |
| Full Name | Edp Of Iowa Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 N 1st St, Marshalltown, Iowa |
| Authorized Official Name and Position | Melissa Garibay (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3127368963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edp Of Iowa Pc 141 W Jackson Blvd Ste 210 Chicago IL 60604-3048 Ph: (312) 937-3619 | Edp Of Iowa Pc 110 N 1st St Marshalltown IA 50158-5804 Ph: (641) 752-3337 |
| NPI Number | 1275049314 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 09/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275049314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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