NPI 1962811091

Abbie J Otto DDS PC

Organisation Preferred Provider Organization Holstein, IA

Practice location

Address: 128 S Main St, Holstein, IA 51025-5018
Phone: (712) 368-4351
Mailing address: 1625 Eagle Ave, Holstein, IA 51025-8051

Authorised official

Name: Abbie Jo Otto
Title: Owner
Phone: (712) 368-4351

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DDS-09098 (IA)

Other Preferred Provider Organization providers in Iowa →

Registry record

NPI: 1962811091
Entity type: Organization
NPI issued: 2 Aug 2014
Record last updated: 2 Aug 2014

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.