Individual
DR. DAVID JOHN LICKTEIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4919 DOUGLAS AVE, STE. 10, DES MOINES, IA 50310-2775
(515) 278-2010
(515) 278-1944
Mailing address
4919 DOUGLAS AVE, STE. 10, DES MOINES, IA 50310-2775
(515) 278-2010
(515) 278-1944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7180
IA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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