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Individual

DR. THEODORE SHEFFER WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
108 W COURT AVE, WINTERSET, IA 50273-1545
(515) 462-4002
Mailing address
108 W COURT AVE, WINTERSET, IA 50273-1545
(515) 462-4002

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06121
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127241
IA
Enumeration date
11/06/2006
Last updated
07/08/2007
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