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Individual

DR. SIVARAMAN PRAKASAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.D.S, M.S.D., PHD

Contact information

Practice address
801 NEWTON RD, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10159
IA
1223P0300X
Periodontics
98000607A
IN

Other

Enumeration date
09/12/2012
Last updated
10/25/2023
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