Individual
DR. JOHN ANTHONY MALETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1469 29TH ST, WEST DES MOINES, IA 50266-1302
(515) 223-6529
(515) 223-5448
Mailing address
1469 29TH ST, WEST DES MOINES, IA 50266-1302
(515) 223-6529
(515) 223-5448
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
06447
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028399
—
IA
Enumeration date
08/09/2006
Last updated
07/09/2007
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