Individual
DR. JAMES ROBERT DEMRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1085 COURT AVE, MARENGO, IA 52301-1439
(319) 741-3214
Mailing address
1085 COURT AVE, MARENGO, IA 52301-1439
(319) 741-3214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07391
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279091
—
IA
Enumeration date
12/19/2006
Last updated
07/08/2007
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