| Cornerstone Dental Of Clive Llc | |
|
11088 Hickman Rd Clive IA 50325-3740 | |
| (515) 984-6001 | |
| Not Available |
| Full Name | Cornerstone Dental Of Clive Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11088 Hickman Rd, Clive, Iowa |
| Authorized Official Name and Position | Ryan Hussong (OWNER) |
| Authorized Official Contact | 5159846001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dental Of Clive Llc 1010 S 3rd St Ste 2a Polk City IA 50226-1181 Ph: (515) 984-6001 | Cornerstone Dental Of Clive Llc 11088 Hickman Rd Clive IA 50325-3740 Ph: (515) 984-6001 |
| NPI Number | 1285056382 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285056382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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