Organization
UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Active
Other names
Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHNSEN DDS (DEAN OF COLLEGE OF DENTISTRY)
(319) 335-7144
Entity
Organization
Contact information
Practice address
801 NEWTON ROAD, 313 DSB S, IOWA CITY, IA 52242
(319) 335-7322
Mailing address
4333 PINE RIDGE TRL NE, IOWA CITY, IA 52240-7831
(319) 351-0442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04869
IA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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