Wilmes Dental, INC.
Clinic/Center, Dental in Decorah, IA. Organization (NPI-2).
NPI number1003669656
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1003669656
- Entity type
- Organization (NPI-2)
- Legal business name
- Wilmes Dental, INC.
- Organization subpart
- No
- Enumeration date
- Apr 11, 2024
- Certification date
- Apr 11, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
108 5th AveDecorah, IA 52101-1319
Phone 563-382-3657 · Fax 563-382-0739
Mailing address
108 5th AveDecorah, IA 52101-1319
Phone 563-382-3657 · Fax 563-382-0739
Authorized official
John Edward Wilmes
Dentist - Owner
5633823657
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