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Individual

DR. BAILEY ELLEN HAMMERBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1953 1ST AVE SE, SUITE D-3, CEDAR RAPIDS, IA 52402-5328
(319) 365-7531
Mailing address
1953 1ST AVE SE, SUITE D-3, CEDAR RAPIDS, IA 52402-5328
(319) 365-7531

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08835
IA

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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