Individual
MARANDA BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
475 N WALNUT ST, COLFAX, IA 50054-9600
(515) 674-4466
(515) 674-3123
Mailing address
475 N WALNUT ST, P.O. BOX 155, COLFAX, IA 50054-9600
(515) 674-4466
(515) 674-3123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09017
IA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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