Individual
DR. ANTHONY EWIGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
104 E WASHINGTON ST, CLARINDA, IA 51632-1611
(816) 602-3106
Mailing address
104 E WASHINGTON ST, CLARINDA, IA 51632-1611
(816) 602-3106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09740
IA
1223G0001X
General Practice Dentistry
2016017391
MO
Other
Enumeration date
05/31/2016
Last updated
01/27/2023
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