Individual
DR. ETHAN A ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1326 SUNSET DR, NORWALK, IA 50211-1344
(515) 981-0444
(515) 981-1450
Mailing address
1326 SUNSET DR, NORWALK, IA 50211-1344
(515) 981-0444
(515) 981-1450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08265
IA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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