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Individual

DR. TODD MATTHEW SCHOMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2010 E 38TH ST, SUITE 105, DAVENPORT, IA 52807-1155
(563) 355-5177
(563) 355-0884
Mailing address
2010 E 38TH ST, SUITE 105, DAVENPORT, IA 52807-1155
(563) 355-5177
(563) 355-0884

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07468
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0097576
IA
Enumeration date
01/28/2007
Last updated
07/09/2007
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