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180 1st St Nw Primghar IA 51245-7700 | |
(712) 957-2460 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 180 1st St Nw, Primghar, 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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180 1st St Nw P.0. Box 278 Primghar IA 51245-7700 Ph: (712) 957-2460 | 180 1st St Nw Primghar IA 51245-7700 Ph: (712) 957-2460 |
NPI Number | 1891067690 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 02/08/2012 |
Identifier | Type | State | Issuer |
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1891067690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |