Individual
DR. BRIAN WILLIAM PROFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 CLEVELAND ST, SUITE B, MUSCATINE, IA 52761-5652
(563) 264-8970
(563) 263-6791
Mailing address
200 CLEVELAND ST, SUITE B, MUSCATINE, IA 52761-5652
(563) 264-8970
(563) 263-6791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6587
IA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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