| Stone Ridge Dental Plc | |
|
1008 W Pleasant Street Pleasantville IA 50225 | |
| (515) 848-3691 | |
| (515) 848-3692 |
| Full Name | Stone Ridge Dental Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1008 W Pleasant Street, Pleasantville, Iowa |
| Authorized Official Name and Position | Thomas M Mohr (OWNER) |
| Authorized Official Contact | 5158483691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Ridge Dental Plc 1008 W Pleasant Street Pleasantville IA 50225 Ph: (515) 848-3691 | Stone Ridge Dental Plc 1008 W Pleasant Street Pleasantville IA 50225 Ph: (515) 848-3691 |
| NPI Number | 1558523803 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558523803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6420 (Iowa) | Primary |
Klise Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 W Pleasant St, Pleasantville, IA 50225 Phone: 515-848-3691 |