Individual
DILLON JOEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1822 S 4TH ST, AMES, IA 50011-1142
(515) 294-6721
Mailing address
4820 MORTENSEN RD UNIT 308, AMES, IA 50014-5532
(641) 278-0250
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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