Individual
LEANNE C. BYLSMA-MULDER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
159 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2633
(712) 722-2638
Mailing address
159 S MAIN AVE, SIOUX CENTER, IA 51250-1535
(712) 722-2633
(712) 722-2638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7596
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091488
—
IA
Enumeration date
05/19/2006
Last updated
05/28/2020
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