is a Dental in St. Ansgar, Iowa. practices all healthcare services and medical treatments related to Dental. The NPI Number for is 1972760882. The last update date is .
's current location address is 312 W 4th St, St. Ansgar, Iowa. You can contact this provider via phone number 6417364302 and fax number 6417362111. The mailing address for is 312 W 4th St, St. Ansgar, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 312 W 4th St, St. Ansgar, Iowa |
| Phone Number | 6417364302 |
| Fax Number | 6417362111 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972760882 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 312 W 4th St |
|---|---|
| City | St. Ansgar |
| State | Iowa (IA) |
| Post Code | 504720069 |
| Phone Number | 6417364302 |
| Fax Number | 6417362111 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 5940 |
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Definition: Provides general and specialized dental care and oral surgery. |
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