Organization
LOWDEN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE SAMUELSON DDS (OWNER)
(563) 941-5281
Entity
Organization
Contact information
Practice address
305 MCKINLEY AVE, LOWDEN, IA 52255
(563) 941-5281
(563) 941-5218
Mailing address
PO BOX 305, 305 MCKINLEY AVE, LOWDEN, IA 52255
(563) 941-5281
(563) 941-5218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5822
IA
1223G0001X
General Practice Dentistry
6041
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075945
—
IA
05
—
1098418
—
IA
Enumeration date
11/17/2006
Last updated
08/22/2020
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