| Cedar Dental Pc | |
|
312 W 4th St St. Ansgar IA 50472-0069 | |
| (641) 736-4302 | |
| (641) 736-2111 |
| Full Name | Cedar Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 312 W 4th St, St. Ansgar, Iowa |
| Authorized Official Name and Position | John Dayton Lafferty (DENTIST) |
| Authorized Official Contact | 6417364302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Dental Pc 312 W 4th St Po Box 69 St. Ansgar IA 50472-0069 Ph: () - | Cedar Dental Pc 312 W 4th St St. Ansgar IA 50472-0069 Ph: (641) 736-4302 |
| NPI Number | 1972760882 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972760882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 05940 (Iowa) | Primary |