Individual
DR. POLLYANNE IBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 NEWTON RD, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
07894
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2188144
—
IA
01
—
749278
UNITED CONCORDIA
—
Enumeration date
10/20/2006
Last updated
07/24/2020
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