Lawhead Family Dentistry
Dentist, General Practice in Muscatine, IA. Organization (NPI-2).
NPI number1770040818
StatusActive
Last updated in NPPESFeb 25, 2019
Details
- NPI
- 1770040818
- Entity type
- Organization (NPI-2)
- Legal business name
- Lawhead Family Dentistry
- Organization subpart
- No
- Enumeration date
- Feb 25, 2019
- Last updated
- Feb 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
315 Sycamore StMuscatine, IA 52761-3824
Phone 563-263-8034 · Fax 563-288-1653
Mailing address
315 Sycamore StMuscatine, IA 52761-3824
Phone 563-263-8034 · Fax 563-288-1653
Authorized official
Jessica S Odegard
Office Support
5632638034
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