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Organization
ORAL SURGEONS, P.C.
Active
Organization
ORAL SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN C JEPSEN D.D.S., M.S. (PRESIDENT)
(515) 274-9151
Entity
Organization
Contact information
Practice address
3940 INGERSOLL AVE, DES MOINES, IA 50312-3506
(515) 274-9151
(515) 274-1472
Mailing address
3940 INGERSOLL AVE, DES MOINES, IA 50312-3506
(515) 274-9151
(515) 274-1472
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/30/2006
Last updated
08/22/2020
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