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1950 Lower Muscatine Rd Iowa City IA 52240-3108 | |
| (319) 337-6226 | |
| (319) 354-9650 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1950 Lower Muscatine Rd, Iowa City, Iowa |
| Authorized Official Name and Position | Sharon L Loso (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5635821448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | 1950 Lower Muscatine Rd Iowa City IA 52240-3108 Ph: (319) 337-6226 |
| NPI Number | 1790345510 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790345510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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