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Individual

DR. ROY EDGAR MOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
600 E 17TH ST N, SUITE A, NEWTON, IA 50208
(641) 792-4832
(641) 792-8843
Mailing address
600 E 17TH ST N, SUITE A, NEWTON, IA 50208
(641) 792-4832
(641) 792-8843

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6387
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153163
IA
Enumeration date
01/10/2007
Last updated
07/08/2007
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