Epworth Family Dentistry Pc | |
208 N Center Ave Epworth IA 52045-7741 | |
(563) 876-3396 | |
(563) 876-3396 |
Full Name | Epworth Family Dentistry Pc |
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Speciality | Clinic/center - Dental |
Location | 208 N Center Ave, Epworth, Iowa |
Authorized Official Name and Position | Kim David Kissell (PRESIDENT) |
Authorized Official Contact | 5638763396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Epworth Family Dentistry Pc 208 N Center Ave Epworth IA 52045-7741 Ph: (563) 876-3396 | Epworth Family Dentistry Pc 208 N Center Ave Epworth IA 52045-7741 Ph: (563) 876-3396 |
NPI Number | 1124344742 |
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Provider Enumeration Date | 04/08/2010 |
Last Update Date | 04/08/2010 |
Identifier | Type | State | Issuer |
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1124344742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 06878 (Iowa) | Primary |
Epworth Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Bierman Rd, Epworth, IA 52045 Phone: 563-876-3396 Fax: 563-876-3645 |