North Liberty Dental Services P.c. | |
525 W Cherry St North Liberty IA 52317-9797 | |
(319) 626-2300 | |
(319) 626-3503 |
Full Name | North Liberty Dental Services P.c. |
---|---|
Speciality | Dentist |
Location | 525 W Cherry St, North Liberty, Iowa |
Authorized Official Name and Position | Debra Beireis Carneol (OWNER) |
Authorized Official Contact | 3196262300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Liberty Dental Services P.c. 525 W Cherry St North Liberty IA 52317-9797 Ph: (319) 626-2300 | North Liberty Dental Services P.c. 525 W Cherry St North Liberty IA 52317-9797 Ph: (319) 626-2300 |
NPI Number | 1245407444 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 05/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245407444 | NPI | - | NPPES |
0179390 | Medicaid | IA | |
49921 | Other | IA | FEDERAL ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 07594 (Iowa) | Primary |
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