Individual
DR. ROY A TESENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 STATE ST, GARNER, IA 50438-1108
(641) 923-3771
(641) 923-2630
Mailing address
55 STATE ST, GARNER, IA 50438-1108
(641) 923-3771
(641) 923-2630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06469
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162859
—
IA
01
—
06469
IOWA DENTAL LISCENS NUMBE
IA
Enumeration date
07/07/2006
Last updated
07/09/2007
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