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Individual

DR. ANDREA LYNNE CARDENZANA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
427 E KANESVILLE BLVD, STE 200, COUNCIL BLUFFS, IA 51503-4403
(712) 322-5318
(712) 329-6128
Mailing address
427 E KANESVILLE BLVD, STE 200, COUNCIL BLUFFS, IA 51503-4403
(712) 322-5318
(712) 329-6128

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7824
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0138453
IA
Enumeration date
10/19/2005
Last updated
07/08/2007
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