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1104036755
OLYMPIC DENTISTRY, PLC
WATERLOO, IA
NPI
1104036755
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Entity Type
Organization
Authorized Contact
BRENT EUGENE LUDENS
Owner
319-234-3233
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: IA 07466)
Enumeration Date
2007-05-23
Last Update Date
2020-08-22
Business Address
OLYMPIC DENTISTRY, PLC
208 OLYMPIC DR
WATERLOO, IA 50701-5240
Phone number: 319-234-3233
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Mailing Address
OLYMPIC DENTISTRY, PLC
208 OLYMPIC DRIVE
WATERLOO, IA 50701-5240
Phone number: 319-234-3233
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