| Dubuque Endodontics, Pc | |
|
988 W 3rd St Suite 107 Dubuque IA 52001-6666 | |
| (563) 583-1050 | |
| Not Available |
| Full Name | Dubuque Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 988 W 3rd St, Dubuque, Iowa |
| Authorized Official Name and Position | John Robert Lundstrom (OWNER/PARTNER) |
| Authorized Official Contact | 5635831050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dubuque Endodontics, Pc 988 W 3rd St Suite 107 Dubuque IA 52001-6666 Ph: (563) 583-1050 | Dubuque Endodontics, Pc 988 W 3rd St Suite 107 Dubuque IA 52001-6666 Ph: (563) 583-1050 |
| NPI Number | 1487025391 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487025391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DDS-09070 (Iowa) | Primary |
| 1223E0200X | Dentist - Endodontics | DDS-08953 (Iowa) | Secondary |
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