| Audubon Dental Center Llc | |
|
400 N Park Pl Audubon IA 50025-1239 | |
| (712) 563-2659 | |
| (712) 563-2659 |
| Full Name | Audubon Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 400 N Park Pl, Audubon, Iowa |
| Authorized Official Name and Position | Brian Gerald Fleshner (DENTIST/OWNER) |
| Authorized Official Contact | 7125632659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Dental Center Llc 400 N Park Pl Audubon IA 50025-1239 Ph: (712) 563-2659 | Audubon Dental Center Llc 400 N Park Pl Audubon IA 50025-1239 Ph: (712) 563-2659 |
| NPI Number | 1477098648 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477098648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 08747 (Iowa) | Primary |
Paul R Schultz Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Park Pl, Audubon, IA 50025 Phone: 712-563-2659 |