| Clear Lake Pediatric Dentistry | |
|
1601 4th Avenue South Clear Lake IA 50428 | |
| (641) 357-7177 | |
| Not Available |
| Full Name | Clear Lake Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1601 4th Avenue South, Clear Lake, Iowa |
| Authorized Official Name and Position | Hilary Ann Reynolds (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6412312204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Pediatric Dentistry 1601 4th Avenue South Clear Lake IA 50428 Ph: (641) 357-7177 | Clear Lake Pediatric Dentistry 1601 4th Avenue South Clear Lake IA 50428 Ph: (641) 357-7177 |
| NPI Number | 1518375328 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518375328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 08186 (Iowa) | Primary |
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Mark J Scribbins Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S 4th St, Clear Lake, IA 50428 Phone: 641-357-3315 Fax: 641-357-3376 | |
Bieber Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N 5th St, Clear Lake, IA 50428 Phone: 641-357-4112 | |
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