| Western Iowa Dental Group, Llc | |
|
1509 Avenue G Council Bluffs IA 51501-2516 | |
| (712) 325-1544 | |
| (712) 325-0420 |
| Full Name | Western Iowa Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1509 Avenue G, Council Bluffs, Iowa |
| Authorized Official Name and Position | Betty Joann Kerger (OFFICE MANAGER) |
| Authorized Official Contact | 7123251544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Iowa Dental Group, Llc 1509 Avenue G Council Bluffs IA 51501-2516 Ph: (712) 325-1544 | Western Iowa Dental Group, Llc 1509 Avenue G Council Bluffs IA 51501-2516 Ph: (712) 325-1544 |
| NPI Number | 1841574886 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 06/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841574886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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