Individual
MRS. KELSEY DIERIKX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2814 NORTHGATE DR STE 2, IOWA CITY, IA 52245-9505
(319) 335-5484
(319) 338-9413
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
122300000X
Dentist
DDS-09677
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS-09677
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2019
Last updated
08/04/2023
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