| Evansdale Family Dentistry | |
|
3534 Lafayette Rd Evansdale IA 50707-1025 | |
| (319) 233-9903 | |
| (319) 292-1696 |
| Full Name | Evansdale Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3534 Lafayette Rd, Evansdale, Iowa |
| Authorized Official Name and Position | Leigh Bailey Werner (OWNER/OPERATOR) |
| Authorized Official Contact | 3192339903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evansdale Family Dentistry 3534 Lafayette Rd Evansdale IA 50707-1025 Ph: (319) 233-9903 | Evansdale Family Dentistry 3534 Lafayette Rd Evansdale IA 50707-1025 Ph: (319) 233-9903 |
| NPI Number | 1679819783 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679819783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 08921 (Iowa) | Primary |
Ruth Christine Gonzalez Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3534 Lafayette Road, Evansdale, IA 50707 Phone: 319-233-9903 Fax: 319-292-1696 |