Smile Doctors Of Iowa Pc | |
1453 4th St Se Mason City IA 50401-4431 | |
(641) 423-5900 | |
Not Available |
Full Name | Smile Doctors Of Iowa Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1453 4th St Se, Mason City, Iowa |
Authorized Official Name and Position | Gregory Goggans (CFO) |
Authorized Official Contact | 2547273131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Doctors Of Iowa Pc Po Box 674434 Dallas TX 75267-4434 Ph: (254) 727-3131 | Smile Doctors Of Iowa Pc 1453 4th St Se Mason City IA 50401-4431 Ph: (641) 423-5900 |
NPI Number | 1427691583 |
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Provider Enumeration Date | 10/22/2019 |
Last Update Date | 05/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427691583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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