| Lzp Dental Enterprises, Llc | |
|
608 Nw 7th St Pocahontas IA 50574-1000 | |
| (712) 335-3521 | |
| Not Available |
| Full Name | Lzp Dental Enterprises, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 608 Nw 7th St, Pocahontas, Iowa |
| Authorized Official Name and Position | Melissa Carlson (REGIONAL OFFICE MANAGER) |
| Authorized Official Contact | 5155737601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lzp Dental Enterprises, Llc 608 Nw 7th St Pocahontas IA 50574-1000 Ph: (712) 335-3521 | Lzp Dental Enterprises, Llc 608 Nw 7th St Pocahontas IA 50574-1000 Ph: (712) 335-3521 |
| NPI Number | 1780352294 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780352294 | NPI | - | NPPES |
| 1223G0001X | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |