Spring Park Oral And Maxillofacial Surgeons | |
407 S 4th St Clinton IA 52732-4512 | |
(563) 243-4406 | |
(563) 243-8534 |
Full Name | Spring Park Oral And Maxillofacial Surgeons |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 407 S 4th St, Clinton, Iowa |
Authorized Official Name and Position | Martie Teshak (MANAGER) |
Authorized Official Contact | 5633591601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spring Park Oral And Maxillofacial Surgeons 407 S 4th St Clinton IA 52732-4512 Ph: (563) 243-4406 | Spring Park Oral And Maxillofacial Surgeons 407 S 4th St Clinton IA 52732-4512 Ph: (563) 243-4406 |
NPI Number | 1194784389 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194784389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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