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Individual

DR. MATTHEW EVAN ZWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
123 ALBANY AVE SE, ORANGE CITY, IA 51041-1715
(712) 737-3521
(712) 737-4891
Mailing address
123 ALBANY AVE SE, ORANGE CITY, IA 51041-1715
(712) 737-3521
(712) 737-4891

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08915
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1704626
IA
Enumeration date
07/06/2012
Last updated
02/24/2014
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