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Organization

SERGEANT BLUFF DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE LYNN HUSEN D.D.S. (DENTIST)
(712) 943-4242
Entity
Organization

Contact information

Practice address
703 1ST ST, SERGEANT BLUFF, IA 51054-8505
(712) 943-4242
(712) 943-4243
Mailing address
703 1ST ST, PO BOX 280, SERGEANT BLUFF, IA 51054-8505
(712) 943-4242
(712) 943-4243

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/08/2009
Last updated
12/08/2009
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