Entity Information

FORT DODGE ORAL AND MAXILLOFACIAL SURGERY, LLP

Active
UEI CAGE Website
DLC9BCRB5NL6 1AFA6

Addresses

Physical Address
804 KENYON RD STE 120
FORT DODGE, IA 50501
UNITED STATES OF AMERICA
Mailing Address
804 KENYON RD STE 120
FORT DODGE, IA 50501
UNITED STATES OF AMERICA

Business Type

FOR PROFIT ORGANIZATION
LIMITED LIABILITY COMPANY
SELF CERTIFIED SMALL DISADVANTAGED BUSINESS

NAICS Codes

Code
Description
OFFICES OF DENTISTS (PRIMARY NAICS)

Contacts

Type
Person
PRIMARY
AUTUMN R JOHANSON
PAST PERF.
AUTUMN R JOHANSON
ELECTRONIC
AUTUMN R JOHANSON