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Contact Information

NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION
101 FRANKLIN
MONONA, IA52159
 Phone: 563-539-4651
 Fax: 563-539-4653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NORTHEAST IOWA DENTAL PROFESSIONAL CORPORATION · (Female)

NPI # 1003919135
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2006
Last updated 12/18/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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