Individual
JEFFERY PURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4405 SW 9TH ST, DES MOINES, IA 50315-3909
(515) 287-3588
(515) 287-7614
Mailing address
4405 SW 9TH ST, DES MOINES, IA 50315-3909
(515) 287-3588
(515) 287-7614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7566
IA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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