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Individual

MISS BOBBI J LAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 753-2301
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 753-2301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08707
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08707
ST LIC
IA
05
1255339750
IA
Enumeration date
06/10/2010
Last updated
06/10/2010
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