Missouri Valley Dental Group Llc | |
73 7th St Woodbine IA 51579-1147 | |
(712) 647-2450 | |
(712) 647-2470 |
Full Name | Missouri Valley Dental Group Llc |
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Speciality | Dentist - General Practice |
Location | 73 7th St, Woodbine, Iowa |
Authorized Official Name and Position | Jean Ann Kerger (CORPORATE MANAGER) |
Authorized Official Contact | 7126472450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Missouri Valley Dental Group Llc 73 7th St Woodbine IA 51579-1147 Ph: (712) 647-2450 | Missouri Valley Dental Group Llc 73 7th St Woodbine IA 51579-1147 Ph: (712) 647-2450 |
NPI Number | 1144387671 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 07/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144387671 | NPI | - | NPPES |
1496026 | Medicaid | IA | |
4264622 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |