NPI 1275049314

Edp of Iowa PC

Organisation Dental Clinic/Center Marshalltown, IA

Practice location

Address: 110 N 1st St, Marshalltown, IA 50158-5804
Phone: (641) 752-3337
Mailing address: 141 W Jackson Blvd STE 210, Chicago, IL 60604-3048

Authorised official

Name: Melissa Garibay
Title: Credentialing Manager
Phone: (312) 736-8963

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Iowa →

Registry record

NPI: 1275049314
Entity type: Organization
NPI issued: 27 Dec 2017
Record last updated: 20 Sep 2021

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.