| Sac & Fox Tribe Of The Miss In Iowa | |
|
1646 305th St Tama IA 52339-9698 | |
| (641) 484-4094 | |
| (461) 484-2432 |
| Full Name | Sac & Fox Tribe Of The Miss In Iowa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1646 305th St, Tama, Iowa |
| Authorized Official Name and Position | Rudy Papakee Papakee (HEALTH DIRECTOR) |
| Authorized Official Contact | 6414844094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sac & Fox Tribe Of The Miss In Iowa 1646 305th St Tama IA 52339-9698 Ph: (641) 484-4094 | Sac & Fox Tribe Of The Miss In Iowa 1646 305th St Tama IA 52339-9698 Ph: (641) 484-4094 |
| NPI Number | 1477811057 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477811057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |