| Great Lakes Dental Center | |
|
2606 17th St Spirit Lake IA 51360-1093 | |
| (712) 336-3037 | |
| Not Available |
| Full Name | Great Lakes Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 2606 17th St, Spirit Lake, Iowa |
| Authorized Official Name and Position | Janet Lynn Boyes (DENTIST) |
| Authorized Official Contact | 6415290291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Dental Center 2606 17th St Spirit Lake IA 51360-1093 Ph: (712) 336-3037 | Great Lakes Dental Center 2606 17th St Spirit Lake IA 51360-1093 Ph: (712) 336-3037 |
| NPI Number | 1699151993 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699151993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 09115 (Iowa) | Primary |
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