| Heritage Creek Dental Llc | |
|
11088 Hickman Rd Clive IA 50325-3740 | |
| (515) 278-2253 | |
| (515) 278-2392 |
| Full Name | Heritage Creek Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 11088 Hickman Rd, Clive, Iowa |
| Authorized Official Name and Position | Clinton Scott Timmerman (PRESIDENT) |
| Authorized Official Contact | 5157837129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Creek Dental Llc 11088 Hickman Rd Clive IA 50325-3740 Ph: (515) 278-2253 | Heritage Creek Dental Llc 11088 Hickman Rd Clive IA 50325-3740 Ph: (515) 278-2253 |
| NPI Number | 1033438957 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033438957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 08515 (Iowa) | Primary |
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