Individual
DR. LYNN RAYMOND GRIEBAHN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1905 N MAIN ST, DAVENPORT, IA 52803-2908
(563) 323-2571
(563) 323-1069
Mailing address
1905 N MAIN ST, DAVENPORT, IA 52803-2908
(563) 323-2571
(563) 323-1069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6943
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431924
—
IA
Enumeration date
11/04/2006
Last updated
07/09/2007
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