Provider First Line Business Practice Location Address:
1101 13TH ST. N, SUITE 1
Provider Second Line Business Practice Location Address:
NORTH PARK FAMILY DENTISTRY
Provider Business Practice Location Address City Name:
HUMBOLDT
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-332-3230
Provider Business Practice Location Address Fax Number:
515-332-3227
Provider Enumeration Date:
07/20/2010