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Prairie Trails Family Dental Llc

Prairie Trails Family Dental Llc is a health care provider in Corydon, IA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 100 E South St, Corydon, IA 50060-1724, US
Practice Location Phone641-872-2514
Practice Location Fax641-872-1152
Legal Business NamePRAIRIE TRAILS FAMILY DENTAL LLC
NPI ?1336485424
Entity TypeOrganization
Enumeration Date ? Dec 18, 2012
Last Update Date ? Nov 18, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Prairie Trails Family Dental Llc

SpecialtySpecializationLicenseLicense State
Dentist

official-icon Authorized Official of Prairie Trails Family Dental Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Prairie Trails Family Dental Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Susan Henderson
Authorized Official Title/PositionDIR. ADMINISTRATIVE SERVICES
Authorized Official Phone Number641-872-5341