Individual
JOSEPH E. D'SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3475 JERSEY RIDGE RD, DAVENPORT, IA 52807-2293
(563) 359-5510
(563) 359-3051
Mailing address
3475 JERSEY RIDGE RD, DAVENPORT, IA 52807-2293
(563) 359-5510
(563) 359-3051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06857
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021006
—
IA
Enumeration date
03/22/2007
Last updated
07/08/2007
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