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801 Newton Road 313 Dsb S Iowa City IA 52242 | |
| (319) 335-7322 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 801 Newton Road, Iowa City, Iowa |
| Authorized Official Name and Position | David Johnsen (DEAN OF COLLEGE OF DENTISTRY) |
| Authorized Official Contact | 3193357144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4333 Pine Ridge Trl Ne Iowa City IA 52240-7831 Ph: (319) 351-0442 | 801 Newton Road 313 Dsb S Iowa City IA 52242 Ph: (319) 335-7322 |
| NPI Number | 1437499605 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437499605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 04869 (Iowa) | Primary |
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