| Keokuk Family Dentistry | |
|
1624 Morgan St Keokuk IA 52632-3456 | |
| (319) 524-1477 | |
| Not Available |
| Full Name | Keokuk Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1624 Morgan St, Keokuk, Iowa |
| Authorized Official Name and Position | Steven Lee Sokolik (DENTIST/OWNER) |
| Authorized Official Contact | 3195241477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keokuk Family Dentistry 1624 Morgan St Keokuk IA 52632-3456 Ph: (319) 524-1477 | Keokuk Family Dentistry 1624 Morgan St Keokuk IA 52632-3456 Ph: (319) 524-1477 |
| NPI Number | 1902300585 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902300585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.029656 (Illinois) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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