Individual
DR. JERAD LYLE HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
319 N ANKENY BLVD, ANKENY, IA 50023-1711
(515) 965-1653
Mailing address
319 N ANKENY BLVD, ANKENY, IA 50023-1711
(515) 965-1653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08568
IA
Other
Enumeration date
07/04/2008
Last updated
07/04/2008
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