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Individual

DR. RICHARD KEITH BOKEMPER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
703 FIRST ST., SERGEANT BLUFF, IA 51054-0280
(712) 943-4242
(712) 943-4243
Mailing address
PO BOX 280, SERGEANT BLUFF, IA 51054-0280
(712) 943-4242
(712) 943-4243

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7009
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217992
IA
Enumeration date
02/27/2006
Last updated
07/08/2007
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