| Liberty Family Dental, Llc | |
|
2 Hawkeye Dr Suite 104 North Liberty IA 52317-8200 | |
| (319) 665-3773 | |
| Not Available |
| Full Name | Liberty Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 Hawkeye Dr, North Liberty, Iowa |
| Authorized Official Name and Position | Christopher John Caster (MANAGER) |
| Authorized Official Contact | 3196653773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Family Dental, Llc 2 Hawkeye Dr Suite 104 North Liberty IA 52317-8200 Ph: () - | Liberty Family Dental, Llc 2 Hawkeye Dr Suite 104 North Liberty IA 52317-8200 Ph: (319) 665-3773 |
| NPI Number | 1588821557 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588821557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 07445 (Iowa) | Primary |
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