| North Liberty Smiles Pllc | |
|
2 Hawkeye Dr Ste 104 North Liberty IA 52317-8202 | |
| (319) 665-3373 | |
| Not Available |
| Full Name | North Liberty Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Hawkeye Dr Ste 104, North Liberty, Iowa |
| Authorized Official Name and Position | Pe Chang (OWNER) |
| Authorized Official Contact | 3196653373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Liberty Smiles Pllc 6800 Vista Del Norte Rd Ne Apt 1526 Albuquerque NM 87113-1364 Ph: (505) 980-3107 | North Liberty Smiles Pllc 2 Hawkeye Dr Ste 104 North Liberty IA 52317-8202 Ph: (319) 665-3373 |
| NPI Number | 1912466582 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912466582 | NPI | - | NPPES |
| 1093813354 | Other | NM | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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