| Kalona Family Dental, Plc | |
|
1206 E Ave Kalona IA 52247-9767 | |
| (319) 656-3264 | |
| (319) 656-3665 |
| Full Name | Kalona Family Dental, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1206 E Ave, Kalona, Iowa |
| Authorized Official Name and Position | Tamara L Grimm (MANAGING MEMBER, OWNER) |
| Authorized Official Contact | 3196563264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalona Family Dental, Plc 1206 E Ave Kalona IA 52247-9767 Ph: (319) 656-3264 | Kalona Family Dental, Plc 1206 E Ave Kalona IA 52247-9767 Ph: (319) 656-3264 |
| NPI Number | 1942827811 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942827811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Kalona Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 E Avenue, Kalona, IA 52247 Phone: 319-656-3601 Fax: 319-656-3603 |