Individual
DR. JERRY CURTIS PRAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2928 HAMILTON BLVD, SUITE 102, SIOUX CITY, IA 51104
(712) 255-7607
(712) 255-4507
Mailing address
2928 HAMILTON BLVD, SUITE 102, SIOUX CITY, IA 51104
(712) 255-7607
(712) 255-4507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
05181
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116285
—
IA
Enumeration date
10/18/2006
Last updated
07/08/2007
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