Individual
MARISSA GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
121 NE 18TH ST, ANKENY, IA 50021-4697
(515) 963-3339
Mailing address
172 HAWKEYE CT APT 216, IOWA CITY, IA 52246-2859
(712) 899-1807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09437
IA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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