Buffalo Prairie Dental Of Keokuk, PLLC
Dentist, General Practice in Keokuk, IA. Organization (NPI-2).
NPI number1962069898
StatusActive
Last updated in NPPESMay 27, 2019
Details
- NPI
- 1962069898
- Entity type
- Organization (NPI-2)
- Legal business name
- Buffalo Prairie Dental Of Keokuk, PLLC
- Organization subpart
- No
- Enumeration date
- May 27, 2019
- Last updated
- May 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3327 Main StKeokuk, IA 52632-2225
Phone 319-524-8811 · Fax 319-524-9785
Mailing address
3327 Main StKeokuk, IA 52632-2225
Phone 319-524-8811 · Fax 319-524-9785
Authorized official
Daunn Sturhahn
Office Manager
2172570386
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