Wissanee Jia-mahasap DDS

NPI 1487057311 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1487057311
Gender Female
Enumeration Date 10/07/2014
Last Updated 10/07/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
414 DENTAL SCIENCE BLDG S
IOWA CITY IA, 52242-1001, US
Phone (319) 335-7275
Fax
Business Location
322 DENTAL SCIENCE BLDG S
IOWA CITY IA, 52242-1001, US
Phone (319) 335-7440
Fax
Toxanomy
Taxonomy Code 390200000X
License State Iowa
License Number 30421
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According to our database, Wissanee Jia-mahasap DDS NPI is 1487057311, taxonomy code is 390200000X and license number is 30421, license state is located at Iowa. Wissanee Jia-mahasap DDS physically located at 414 Dental Science Bldg S, Iowa City IA, 52242-1001. NPI Number Wissanee Jia-mahasap DDS has the Individual type.

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1487057311 NPI number is provided on an as is basis without warranty of any kind. 1487057311 is maintained by the National Plan & Provider Enumeration System. The contents of Wissanee Jia-mahasap DDS are for informational purposes only.