Individual
DR. DERALD DEAN DOSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 S 2ND ST, CLINTON, IA 52732-4213
(563) 243-6950
(563) 243-2648
Mailing address
400 S 2ND ST, CLINTON, IA 52732-4213
(563) 243-6950
(563) 243-2648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5818
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845565
UNITED CONCORDIA
—
Enumeration date
11/20/2006
Last updated
07/08/2007
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