Individual
STEPHEN ROSS TOUVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3520 UTICA RIDGE RD, BETTENDORF, IA 52722
(563) 359-9165
(563) 359-1824
Mailing address
3520 UTICA RIDGE RD, BETTENDORF, IA 52722
(563) 359-9165
(563) 359-1824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6313
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1161042
—
IA
01
—
6313
IOWA DENTAL
IA
Enumeration date
06/22/2006
Last updated
07/08/2007
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