Individual
RYAN T OETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
255 BIERMAN RD, EPWORTH, IA 52045-9529
(563) 876-3396
Mailing address
255 BIERMAN RD, EPWORTH, IA 52045-9529
(563) 876-3396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09046
IA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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