Individual
KENNETH HERMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 1/2 S. 6TH STREET, COUNCIL BLUFFS, IA 51501-4324
(712) 256-5048
(712) 256-4832
Mailing address
114 1/2 S 6TH ST, COUNCIL BLUFFS, IA 51501-4234
(712) 256-5048
(712) 256-4832
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
09077
IA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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