Individual
STEPHANIE NOWYSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
611 E BURLINGTON ST, IOWA CITY, IA 52240-5048
(319) 339-0489
Mailing address
611 E BURLINGTON ST, IOWA CITY, IA 52240-5048
(319) 339-0489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7902
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1173807
—
IA
Enumeration date
08/02/2005
Last updated
07/09/2007
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