Individual
DR. TERRY LEE BABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
599 EASTERN AVE, MARENGO, IA 52301
(319) 642-7341
(319) 642-1212
Mailing address
PO BOX 308, MARENGO, IA 52301
(319) 642-7341
(319) 642-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6660
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007336
—
IA
Enumeration date
08/09/2006
Last updated
07/08/2007
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