Individual
DAVID S MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
201 RIDGE ST, SUITE 308, COUNCIL BLUFFS, IA 51503-4643
(712) 328-8892
Mailing address
201 RIDGE STREET, SUITE 308, COUNCIL BLUFFS, IA 51503
(712) 328-8892
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5705
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075564
—
IA
Enumeration date
09/11/2006
Last updated
12/21/2007
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