Elite Dentistry | |
5708 Sunnybrook Dr Sioux City IA 51106-4249 | |
(712) 224-4001 | |
Not Available |
Full Name | Elite Dentistry |
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Speciality | Dentist - General Practice |
Location | 5708 Sunnybrook Dr, Sioux City, Iowa |
Authorized Official Name and Position | Jennifer Gotch (PRESIDENT/DENTIST) |
Authorized Official Contact | 7122244001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Dentistry Po Box 176 Sioux City IA 51102-0176 Ph: (712) 224-4001 | Elite Dentistry 5708 Sunnybrook Dr Sioux City IA 51106-4249 Ph: (712) 224-4001 |
NPI Number | 1528499068 |
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Provider Enumeration Date | 12/10/2013 |
Last Update Date | 12/10/2013 |
Identifier | Type | State | Issuer |
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1528499068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8773 (Iowa) | Primary |
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