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Individual

DR. JOSEPH M VAN ES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
159 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2618
(712) 722-2638
Mailing address
314 8TH ST NE, SIOUX CENTER, IA 51250-2010
(712) 722-0818
(712) 722-2638

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08325
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0488320
IA
01
0739029
MEDICAID GROUP ID
IA
Enumeration date
06/12/2006
Last updated
01/29/2008
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