Dubuque Periodontics PC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Dubuque, IA. Organization (NPI-2).
NPI number1154890945
StatusActive
Last updated in NPPESNov 21, 2018
Details
- NPI
- 1154890945
- Entity type
- Organization (NPI-2)
- Legal business name
- Dubuque Periodontics PC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2018
- Last updated
- Nov 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | Yes |
Other names
- Dubuque Dental Sleep Medicine (Doing Business As)
Practice location
1082 Cedar Cross Rd Ste 2Dubuque, IA 52003-7745
Phone 563-557-7569
Mailing address
1082 Cedar Cross Rd Ste 2Dubuque, IA 52003-7745
Authorized official
James Fili
Owner
5635577569
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