Individual
JEFFRY D BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3455 STONEMAN RD, DUBUQUE, IA 52002-5269
(563) 566-3213
Mailing address
1690 ELM ST, DUBUQUE, IA 52001-3686
(563) 690-2850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09573
IA
Other
Enumeration date
06/26/2018
Last updated
04/18/2024
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