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Individual

DR. THOMAS ALBERT MOUNSDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
201 E 1ST ST, LEON, IA 50144-1642
(641) 446-7766
Mailing address
201 E 1ST ST, LEON, IA 50144-1642
(641) 446-7766

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06687
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0059493
IA
Enumeration date
07/24/2006
Last updated
07/08/2007
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