Individual
DR. CLARK DENNIS WYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 S DODGE ST, ALGONA, IA 50511-2639
(515) 295-5331
Mailing address
121 S DODGE ST, ALGONA, IA 50511-2639
(515) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5980
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082941
—
IA
Enumeration date
04/11/2007
Last updated
07/08/2007
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