| Waterloo Pediatric Dentistry | |
|
112 W Park Ln Waterloo IA 50701-5119 | |
| (319) 429-0179 | |
| Not Available |
| Full Name | Waterloo Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 112 W Park Ln, Waterloo, Iowa |
| Authorized Official Name and Position | Alison Christensen (OWNER) |
| Authorized Official Contact | 3194290179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterloo Pediatric Dentistry 112 W Park Ln Waterloo IA 50701-5119 Ph: (319) 595-2160 | Waterloo Pediatric Dentistry 112 W Park Ln Waterloo IA 50701-5119 Ph: (319) 429-0179 |
| NPI Number | 1700583580 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700583580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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