Individual
DR. DAVID LEE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
305 MCKINLEY, LOWDEN, IA 52255
(563) 941-5381
(563) 941-5318
Mailing address
305 MCKINLEY, PO BOX 306, LOWDEN, IA 52255
(563) 941-5381
(563) 941-5318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5822
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075945
—
IA
Enumeration date
10/27/2006
Last updated
07/08/2007
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