Individual
DR. CAMERON JOHN ELMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 N WALNUT ST, WEST UNION, IA 52175-1347
(563) 422-5629
Mailing address
104 N WALNUT ST, PO BOX478, WEST UNION, IA 52175-1347
(563) 422-5629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6970
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217299
—
IA
Enumeration date
11/15/2006
Last updated
07/08/2007
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