| Bridge City Dental, Pc | |
|
2427 Northgate St Ottumwa IA 52501-1144 | |
| (641) 684-4889 | |
| Not Available |
| Full Name | Bridge City Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2427 Northgate St, Ottumwa, Iowa |
| Authorized Official Name and Position | Eric Chad De Boef (PRESIDENT) |
| Authorized Official Contact | 6416844889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge City Dental, Pc 2427 Northgate St Ottumwa IA 52501-1144 Ph: (641) 684-4889 | Bridge City Dental, Pc 2427 Northgate St Ottumwa IA 52501-1144 Ph: (641) 684-4889 |
| NPI Number | 1073122354 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073122354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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