Individual
MICHAEL ALLEN MCLAUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
407 WILSON ST., DYSART, IA 52224
(319) 476-4110
Mailing address
PO BOX 160, DYSART, IA 52224-0160
(319) 476-4110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5394
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060434
—
IA
01
—
060434
UNIVERSAL #
IA
Enumeration date
08/01/2006
Last updated
07/08/2007
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