Organization
BRIAN A ENESS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A ENESS DDS (OWNER)
(563) 578-8525
Entity
Organization
Contact information
Practice address
119 N CARPENTER ST, SUMNER, IA 50674-1433
(563) 578-8525
(563) 578-8737
Mailing address
119 N CARPENTER ST, SUMNER, IA 50674-1433
(563) 578-8525
(563) 578-8737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08636
IA
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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