Individual
ROBERT D NASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 1 2 E MAIN ST, CLARINDA, IA 51632
(712) 542-4649
Mailing address
PO BOX 283, CLARINDA, IA 51632-0283
(712) 542-4649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5085
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061457
—
IA
Enumeration date
11/07/2006
Last updated
07/08/2007
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