| Gentle Family Dentists | |
|
1205 N Columbus St West Liberty IA 52776-9601 | |
| (319) 627-2612 | |
| (319) 627-2178 |
| Full Name | Gentle Family Dentists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1205 N Columbus St, West Liberty, Iowa |
| Authorized Official Name and Position | Carol L Moreno (OWNER) |
| Authorized Official Contact | 3196272612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Family Dentists 1205 N Columbus St West Liberty IA 52776-9601 Ph: (319) 627-2612 | Gentle Family Dentists 1205 N Columbus St West Liberty IA 52776-9601 Ph: (319) 627-2612 |
| NPI Number | 1932376191 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932376191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6899 (Iowa) | Primary |