Individual
DR. DOUGLASS J SOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1415 BROADWAY, DENISON, IA 51442-2052
(712) 263-5615
(712) 263-8124
Mailing address
1415 BROADWAY, DENISON, IA 51442-2052
(712) 263-5615
(712) 263-8124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06657
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184978
—
IA
Enumeration date
10/19/2006
Last updated
07/08/2007
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