Boyson Dental Associates Plc
Dentist, General Practice in Hiawatha, IA. Organization (NPI-2).
NPI number1164023222
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1164023222
- Entity type
- Organization (NPI-2)
- Legal business name
- Boyson Dental Associates Plc
- Organization subpart
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Boyson Dental (Doing Business As)
Practice location
1475 Boyson RdHiawatha, IA 52233-2339
Phone 319-393-4019 · Fax 319-378-2924
Mailing address
1475 Boyson RdHiawatha, IA 52233-2339
Phone 319-393-4019 · Fax 319-378-2924
Authorized official
Christopher Michael Moothart
Owner/Dentist
3193934019
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