Individual
DIANA LEE VAN SCHILFGAARDE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1935 1ST AVE SE, CEDAR RAPIDS, IA 52402-5325
(319) 362-1262
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 802-4499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09348
IA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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