Individual
DR. DERRICK BISNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
322 DENTAL SCIENCE S BLDG S, IOWA CITY, IA 52242-1034
(319) 335-9656
Mailing address
322 DENTAL SCIENCE S BLDG S, IOWA CITY, IA 52242-1034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RES-30598
IA
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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