Smile Shoppe | |
210 S 5th St Burlington IA 52601-5619 | |
(319) 752-1600 | |
(319) 752-1610 |
Full Name | Smile Shoppe |
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Speciality | Dentist |
Location | 210 S 5th St, Burlington, Iowa |
Authorized Official Name and Position | Amy Rebecca Groeltz (PRESIDENT/DENTIST) |
Authorized Official Contact | 3197521600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Shoppe 210 S 5th St Burlington IA 52601-5619 Ph: (319) 752-1600 | Smile Shoppe 210 S 5th St Burlington IA 52601-5619 Ph: (319) 752-1600 |
NPI Number | 1356518500 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 05/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356518500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8298 (Iowa) | Primary |