Individual
KATIE N JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
703 SIMON AVE, CARROLL, IA 51401-2264
(712) 792-4375
Mailing address
703 SIMON AVE, CARROLL, IA 51401-2264
(712) 792-4375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09087
IA
Other
Enumeration date
06/30/2014
Last updated
10/20/2015
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