Individual
DR. DAN THOMAS TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1454 30TH ST, SUITE 208B, WEST DES MOINES, IA 50266-1305
(515) 225-2577
(515) 223-0793
Mailing address
1454 30TH ST, SUITE 208B, WEST DES MOINES, IA 50266-1305
(515) 225-2577
(515) 223-0793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06702
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183210
—
IA
Enumeration date
10/12/2006
Last updated
07/08/2007
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