Individual
JOHN HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 N 13TH ST, MARSHALLTOWN, IA 50158-5411
(641) 752-6458
Mailing address
233 N 13TH ST, MARSHALLTOWN, IA 50158-5411
(641) 752-6458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS-07942
IA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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