| Lilly Family Dentistry | |
|
2100 Indian Hills Drive Sioux City IA 51104 | |
| (712) 239-5125 | |
| Not Available |
| Full Name | Lilly Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2100 Indian Hills Drive, Sioux City, 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 |
|---|---|
| Lilly Family Dentistry 2100 Indian Hills Drive Sioux City IA 51104 Ph: (712) 239-5125 | Lilly Family Dentistry 2100 Indian Hills Drive Sioux City IA 51104 Ph: (712) 239-5125 |
| NPI Number | 1578944435 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578944435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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