NPI 1083947667
Eastern Iowa Periodontics, PC
Practice location
- Address
- 501 12th Ave Suite 202, Coralville, IA 52241-1774
- Phone
- (319) 351-5439
- Fax
- (319) 354-0491
Authorised official
- Name
- Adrienne S Gunstream
- Title
- Periodontist
- Phone
- (319) 351-5439
Registered specialties
Periodontics
Primary
Registry record
- NPI
- 1083947667
- Entity type
- Organization
- NPI issued
- 14 Sep 2009
- Record last updated
- 14 Sep 2009
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.