Individual
MADISEN DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1049
(319) 356-2205
Mailing address
51300 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242-1049
(319) 356-2205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2024-234A
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES-30712
IA
Other
Enumeration date
03/11/2024
Last updated
07/16/2025
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