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1194892521
JERSEY RIDGE DENTAL ASSOCIATES
DAVENPORT, IA
NPI
1194892521
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Entity Type
Organization
Authorized Contact
DAVID L SAMUELSON
Partner
563-359-9144
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2006-11-29
Last Update Date
2008-07-24
Business Address
JERSEY RIDGE DENTAL ASSOCIATES
5105 JERSEY RIDGE ROAD
DAVENPORT, IA 52807-3134
Phone number: 563-359-9144
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Mailing Address
JERSEY RIDGE DENTAL ASSOCIATES
5105 JERSEY RIDGE ROAD
DAVENPORT, IA 52807-3134
Phone number: 563-359-9144
Copy
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