Individual
DR. LAURA FITZPATRICK SASS MEINCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
325 CEDAR ST, WILTON, IA 52778-7713
(563) 732-2612
Mailing address
PO BOX 399, WILTON, IA 52778-0399
(563) 732-2612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09219
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IA
Enumeration date
07/13/2015
Last updated
10/10/2019
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