Individual
SALLY M ROUSHDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 NEWTON ROAD, UNIVERSITY OF IOWA COLLEGE OF DENTISTRY, IOWA CITY, IA 52242
(319) 335-3188
Mailing address
752 WESTGATE ST, IOWA CITY, IA 52246-4637
(352) 281-7399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
FAC-40179
IA
1223P0700X
Prosthodontics
FAC-40179
IA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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