NPI 1003823113
Pediatric Dentristry of Coralville INC
Practice location
- Address
- 414 10th Ave STE B, Coralville, IA 52241
- Phone
- (319) 338-7520
- Fax
- (319) 351-5730
Authorised official
- Name
- Polly Iben
- Title
- Owner
- Phone
- (319) 338-7520
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1003823113
- Entity type
- Organization
- NPI issued
- 2 Aug 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.