Individual
DR. JEAN ESTELLE TREDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
414 10TH AVE, SUITE A, CORALVILLE, IA 52241-2372
(319) 339-1754
Mailing address
414 10TH AVE, SUITE A, CORALVILLE, IA 52241-2372
(319) 339-1754
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
07189
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1087452
—
IA
Enumeration date
11/20/2006
Last updated
07/08/2007
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