Organization · Type 2 NPI
Diamond Trail Dental PC
Dental Clinic/Center · Montezuma, IA
NPI number
1164761698
Active
Practice location
301 S. 4th St.
Montezuma, IA 50171-1031
Mailing address
107 High Ave E
Oskaloosa, IA 52577-2831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Montezuma
About NPI 1164761698
Diamond Trail Dental PC's National Provider Identifier is 1164761698, issued on Feb 4, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Montezuma, IA. The record was last updated on Feb 4, 2013.