Individual
DR. SUSAN DIANN IREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
314 3RD AVE SOUTH, CLINTON, IA 52732
(563) 242-5041
(563) 242-5044
Mailing address
314 3RD AVE SOUTH, CLINTON, IA 52732
(563) 242-5041
(563) 242-5044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6449
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119842
—
IA
Enumeration date
01/31/2007
Last updated
07/08/2007
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