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Individual

ROBERT DOUGLAS RITTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
4949 PLEASANT ST, SUITE 103, WEST DES MOINES, IA 50266-1741
(515) 222-1852
Mailing address
4949 PLEASANT ST, SUITE 103, WEST DES MOINES, IA 50266-1741
(515) 222-1852

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6575
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0171090
IA
01
17109
FEDERAL WELLMARK
IA
01
708956
UNITED CONCORDIA
IA
Enumeration date
07/21/2006
Last updated
07/08/2007
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