EDP OF IOWA PC

SIOUX CITY, IA
NPI1720546476
Doing Business AsDONA PRINCE DDS
Entity TypeOrganization
Authorized ContactROSEANNE BRUNENKANT
Director Of Integrations
312-937-3619
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-03-12
Last Update Date2019-09-16
Business Address
EDP OF IOWA PC
4220 SERGEANT RD
SIOUX CITY, IA 51106-4648
Phone number: 312-800-1270
Mailing Address
EDP OF IOWA PC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-937-3619