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Individual

DR. DIANE LYNNE HOUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
800 E 1ST ST, SUITE E250, ANKENY, IA 50021-2077
(515) 963-9600
(515) 963-0162
Mailing address
800 E 1ST ST, SUITE E250, ANKENY, IA 50021-2077
(515) 963-9600
(515) 963-0162

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
07978
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0460279
ID
Enumeration date
07/19/2006
Last updated
07/09/2007
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