| Western Iowa Dental Group,pc | |
|
114 1/2 S 6th St Council Bluffs IA 51501-4234 | |
| (712) 325-1544 | |
| (712) 325-0420 |
| Full Name | Western Iowa Dental Group,pc |
|---|---|
| Speciality | Dentist |
| Location | 114 1/2 S 6th St, Council Bluffs, Iowa |
| Authorized Official Name and Position | Betty 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,pc 1509 Avenue G Council Bluffs IA 51501-2516 Ph: (712) 325-1544 | Western Iowa Dental Group,pc 114 1/2 S 6th St Council Bluffs IA 51501-4234 Ph: (712) 325-1544 |
| NPI Number | 1073939799 |
|---|---|
| Provider Enumeration Date | 03/06/2014 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073939799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 07421 (Iowa) | Primary |
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