Individual
DR. DEBRA K. OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
702 W MAIN ST, ANAMOSA, IA 52205-1636
(319) 462-2531
(319) 462-2914
Mailing address
702 W MAIN ST, ANAMOSA, IA 52205-1636
(319) 462-2531
(319) 462-2914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7608
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085928
—
IA
01
—
42053
DELTA DENTAL PLAN
IA
Enumeration date
10/13/2005
Last updated
07/08/2007
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