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Martin G Ahrens Valid NPI

Individual provider · General Practice Dentistry · Manning, IA

NPI
1104030014
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
6048 (IA)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-05-09
Last updated
2007-07-08
Practice location
215 Main St, Box 216
Manning, IA 51455-1028
(712) 655-2385

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