Individual
DR. CLYDE DANIEL OVERTURFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
204 N ARCADE ST, MAQUOKETA, IA 52060
(563) 652-2553
(563) 652-9816
Mailing address
204 N ARCADE ST, MAQUOKETA, IA 52060
(563) 652-2553
(563) 652-9816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06334
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155549
—
IA
Enumeration date
01/17/2007
Last updated
07/09/2007
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