Individual
DR. FIONNA TAY GOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Mailing address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
108663
CA
122300000X
Dentist
25582
FL
122300000X
Dentist
36299
TX
122300000X
Dentist
7991
NE
122300000X
Dentist
DDS-10194
IA
1223G0001X
General Practice Dentistry
Primary
DDS-10194
IA
Other
Enumeration date
07/10/2020
Last updated
09/04/2024
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