Gentle Family Dentists | |
1205 N Columbus St West Liberty IA 52776-9601 | |
(319) 627-2612 | |
(319) 627-2178 |
Full Name | Gentle Family Dentists |
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Speciality | Clinic/center - Dental |
Location | 1205 N Columbus St, West Liberty, Iowa |
Authorized Official Name and Position | Carol L Moreno (OWNER) |
Authorized Official Contact | 3196272612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gentle Family Dentists 1205 N Columbus St West Liberty IA 52776-9601 Ph: (319) 627-2612 | Gentle Family Dentists 1205 N Columbus St West Liberty IA 52776-9601 Ph: (319) 627-2612 |
NPI Number | 1932376191 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 01/09/2013 |
Identifier | Type | State | Issuer |
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1932376191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6899 (Iowa) | Primary |