Individual
DR. NICK JOHN DASKALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28 N 4TH ST, KEOKUK, IA 52632
(319) 524-6823
Mailing address
28 N 4TH ST, KEOKUK, IA 52632
(319) 524-6823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4905
IA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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