Individual
BRIAN DARLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 W 2ND ST STE 4, OTTUMWA, IA 52501-2506
(641) 575-0611
(641) 575-0622
Mailing address
301 W 2ND ST STE 4, OTTUMWA, IA 52501-2506
(641) 575-0611
(641) 575-0622
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
09962
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2018015588
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400055093
—
MO
Enumeration date
02/10/2016
Last updated
03/27/2022
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