Individual
LAKS JAGNANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2302 W 1ST ST, ANKENY, IA 50023-5106
(515) 964-8350
(515) 964-9519
Mailing address
2302 W 1ST ST, ANKENY, IA 50023-5106
(515) 964-8350
(515) 964-9519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6278
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143644
—
IA
Enumeration date
01/23/2007
Last updated
07/08/2007
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