Individual
DR. JEAN E. IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
135 1ST ST. NW, BOX 278, PRIMGHAR, IA 51245-0278
(712) 957-2460
(712) 957-1013
Mailing address
135 1ST ST. NW, BOX 278, PRIMGHAR, IA 51245-0278
(712) 957-2460
(712) 957-1013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6326
IA
Other
Enumeration date
11/07/2006
Last updated
01/18/2012
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