Heritage Creek Dental | |
11088 Hickman Rd Clive IA 50325-3740 | |
(515) 278-2253 | |
(515) 278-2392 |
Full Name | Heritage Creek Dental |
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Speciality | Dentist |
Location | 11088 Hickman Rd, Clive, Iowa |
Authorized Official Name and Position | Clinton Scott Timmerman (PRESIDENT) |
Authorized Official Contact | 5157837129 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heritage Creek Dental 11088 Hickman Rd Clive IA 50325-3740 Ph: (515) 278-2253 | Heritage Creek Dental 11088 Hickman Rd Clive IA 50325-3740 Ph: (515) 278-2253 |
NPI Number | 1033438957 |
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Provider Enumeration Date | 05/18/2010 |
Last Update Date | 05/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033438957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 08515 (Iowa) | Primary |
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