Individual
JOSEPH CONSAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3324 ORION DR, AMES, IA 50010-4378
(515) 232-2007
Mailing address
3324 ORION DR, AMES, IA 50010-4378
(515) 232-2007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6666
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186866
—
IA
Enumeration date
11/16/2006
Last updated
07/09/2007
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