Individual
DR. MARY JO M JACOBSMEIER-STRAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
801 HIGHWAY 30 SW, MOUNT VERNON, IA 52314-9518
(319) 895-8322
(319) 895-8109
Mailing address
801 HWY 30 W, P.O. BOX 202, MOUNT VERNON, IA 52314-0202
(319) 895-8322
(319) 895-8109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7915
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1157644
—
IA
Enumeration date
11/27/2006
Last updated
07/08/2007
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