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Individual

DR. ANDREW JAMES MAJERAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1620 NW 114TH ST, CLIVE, IA 50325-7071
(515) 287-2006
Mailing address
1620 NW 114TH ST, CLIVE, IA 50325-7071
(515) 287-2006

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08712
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508093857
IA
Enumeration date
06/14/2009
Last updated
06/28/2012
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