Family 1st Dental Of Lake City | |
1331 W Main St Lake City IA 51449-1585 | |
(712) 464-3124 | |
Not Available |
Full Name | Family 1st Dental Of Lake City |
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Speciality | Dentist - General Practice |
Location | 1331 W Main St, Lake City, Iowa |
Authorized Official Name and Position | Charles S. Skoglund (OWNER) |
Authorized Official Contact | 4026443177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family 1st Dental Of Lake City 1331 W Main St Lake City IA 51449-1585 Ph: (712) 464-3124 | Family 1st Dental Of Lake City 1331 W Main St Lake City IA 51449-1585 Ph: (712) 464-3124 |
NPI Number | 1912161944 |
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Provider Enumeration Date | 07/18/2008 |
Last Update Date | 01/07/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912161944 | NPI | - | NPPES |
0265447 | Medicaid | IA | |
55729 | Other | IA | WELLMARK |
10025042400 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 08163 (Iowa) | Primary |