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IOWA PEDIATRIC DENTAL CENTER

Pediatric Dentistry

Coralville, Iowa

Provider NPI: 1639595952

Organization Information:
Organization Name:  IOWA PEDIATRIC DENTAL CENTER
Organization is not Subpart
Authorized Official:  DONALD CRAIG PETERSON  DOCTOR/OWNER  319-3515439

Practice Location:
501 12TH AVE SUITE 202 CORALVILLE, IA 52241 US
Tel: 319-351-5439  Fax: 319-354-0491

Business Mailing Address:
501 12TH AVE SUITE 202 CORALVILLE, IA 52241 US
Tel: 319-351-5439  Fax: 319-354-0491

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
IA08193





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