NPI 1104036755

Olympic Dentistry, Plc

Organisation Dental Clinic/Center Waterloo, IA

Practice location

Address: 208 Olympic Dr, Waterloo, IA 50701-5240
Phone: (319) 234-3233
Fax: (319) 234-3879
Mailing address: 208 Olympic Drive, Waterloo, IA 50701-5240

Authorised official

Name: Brent Eugene Ludens
Title: Owner
Phone: (319) 234-3233

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 07466 (IA)

Other Clinic/Center providers in Iowa →

Registry record

NPI: 1104036755
Entity type: Organization
NPI issued: 23 May 2007
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.