| Corridor Family Dentistry, Pllc | |
|
1055 N Center Point Rd Hiawatha IA 52233-1231 | |
| (319) 366-8521 | |
| Not Available |
| Full Name | Corridor Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1055 N Center Point Rd, Hiawatha, Iowa |
| Authorized Official Name and Position | Brad Johnson (DENTIST) |
| Authorized Official Contact | 3193318113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corridor Family Dentistry, Pllc 2375 12th St Coralville IA 52241-3118 Ph: (319) 331-8113 | Corridor Family Dentistry, Pllc 1055 N Center Point Rd Hiawatha IA 52233-1231 Ph: (319) 366-8521 |
| NPI Number | 1427380781 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427380781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 08574 (Iowa) | Primary |
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