| Northeast Iowa Dental Professional Corporation | |
|
101 Franklin Monona IA 52159 | |
| (563) 539-4651 | |
| (563) 539-4653 |
| Full Name | Northeast Iowa Dental Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Franklin, Monona, Iowa |
| Authorized Official Name and Position | Judy Sue Kurth (OFFICE MANAGER) |
| Authorized Official Contact | 5635683983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Iowa Dental Professional Corporation Po Box 965 Monona IA 52159 Ph: (563) 539-4651 | Northeast Iowa Dental Professional Corporation 101 Franklin Monona IA 52159 Ph: (563) 539-4651 |
| NPI Number | 1003919135 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003919135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |