| Berkshire Dental | |
|
2375 Berkshire Pkwy Clive IA 50325-4677 | |
| (515) 987-7670 | |
| (515) 987-7671 |
| Full Name | Berkshire Dental |
|---|---|
| Speciality | Dentist |
| Location | 2375 Berkshire Pkwy, Clive, Iowa |
| Authorized Official Name and Position | Stephen Forrest (PARTNER) |
| Authorized Official Contact | 5159877670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Dental 2375 Berkshire Pkwy Clive IA 50325-4677 Ph: (515) 987-7670 | Berkshire Dental 2375 Berkshire Pkwy Clive IA 50325-4677 Ph: (515) 987-7670 |
| NPI Number | 1174797310 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174797310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7057 (Iowa) | Primary |
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