Individual
DR. DANIEL DAVID HISEROTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1629 1ST AVE SW, SIOUX CENTER, IA 51250-1120
(712) 722-3216
(712) 722-3218
Mailing address
1629 1ST AVE SW, SIOUX CENTER, IA 51250-1120
(712) 722-3216
(712) 722-3218
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DDS-09048
IA
Other
Enumeration date
08/15/2013
Last updated
12/01/2015
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