Organization
H MARK TRUNNELL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD MARK TRUNNELL DDS (PRESIDENT)
(319) 352-4488
Entity
Organization
Contact information
Practice address
325 21ST ST NW, WAVERLY, IA 50677-2019
(319) 352-4488
(319) 352-4489
Mailing address
325 21ST ST NW, WAVERLY, IA 50677-2019
(319) 352-4488
(319) 352-4489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6208
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143206
—
IA
Enumeration date
05/21/2007
Last updated
08/22/2020
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