Individual
DR. EDWIN CHRISTIAN SIEBRASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
303 SW 7TH ST., SUITE D, STUART, IA 50250
(515) 523-2521
(515) 523-2162
Mailing address
303 SW 7TH ST., SUITE D, STUART, IA 50250
(515) 523-2521
(515) 523-2162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06644
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220905
—
IA
Enumeration date
09/28/2006
Last updated
07/08/2007
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