Individual
DR. CARNEY DANIEL LOUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
411 E 17TH ST S, NEWTON, IA 50208-4057
(641) 792-7811
(641) 791-7090
Mailing address
411 E 17TH ST S, NEWTON, IA 50208-4057
(641) 792-7811
(641) 791-7090
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6684
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202689
—
IA
Enumeration date
03/28/2007
Last updated
07/08/2007
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