HERITAGE DENTAL LLC

WAVERLY, IA
NPI1154574846
Former Legal Business NameJAMES M MAIXNER DDS
Entity TypeOrganization
Authorized ContactJAMES MICHAEL MAIXNER
Manager
319-352-5222
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  06793)
Enumeration Date2008-10-28
Last Update Date2009-07-06
Business Address
HERITAGE DENTAL LLC
1400 10TH AVE SW
WAVERLY, IA 50677-3752
Phone number: 319-352-5222
Mailing Address
HERITAGE DENTAL LLC
1400 10TH AVE SW P.O. BOX 854
WAVERLY, IA 50677-3752
Phone number: 319-352-5222