NPI 1013174069

The Family Dental Center

Organisation General Practice Dentistry Coralville, IA

Practice location

Address: 2781 Oakdale Blvd STE 3, Coralville, IA 52241-9751
Phone: (319) 351-3414
Fax: (319) 665-2772

Authorised official

Name: Gregory Alan Gilbaugh
Title: Owner
Phone: (319) 351-3414

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 7143 (IA)

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Registry record

NPI: 1013174069
Entity type: Organization
NPI issued: 19 May 2008
Record last updated: 18 Jan 2011

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.