Individual
RODNEY R STREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
934 N 7TH STREET, CHARITON, IA 50049
(641) 774-5031
(641) 774-4454
Mailing address
934 N 7TH STREET, CHARITON, IA 50049
(641) 774-5031
(641) 774-4454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6159
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143461
—
IA
Enumeration date
12/04/2006
Last updated
07/08/2007
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