NPI | 1902300585 |
---|---|
Doing Business As | KEOKUK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEVEN LEE SOKOLIK Dentist/Owner 319-524-1477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IL 019.029656) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2022-09-13 |