Individual
MYRA M LUSSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4090 WESTOWN PKWY, SUIT B, WEST DES MOINES, IA 50266-6760
(515) 267-0737
(515) 267-1480
Mailing address
4090 WESTOWN PKWY, SUIT B, WEST DES MOINES, IA 50266-6760
(515) 267-0737
(515) 267-1480
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7920
IA
Other
Enumeration date
04/24/2006
Last updated
07/08/2007
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