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Individual

DEBORAH L KROTZ-DIELEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
218 S IOWA AVE, WASHINGTON, IA 52353-1736
(319) 653-5436
Mailing address
218 S IOWA AVE, WASHINGTON, IA 52353-1736

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07384
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0056705
IA
Enumeration date
01/01/2007
Last updated
01/30/2015
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