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DR. DAVID R COURTNEY DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1245364033

Individual Registrant:
DR. DAVID R COURTNEY DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
525 AVENUE G  FORT MADISON, IA 52627 US
Tel: 319-372-8540  Fax: 319-372-1127

Contact information for business:
525 1/2 AVENUE G  FORT MADISON, IA 52627 US
Tel: 319-372-8540  Fax: 319-372-1127

Registration Information:
NPI: 1245364033
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
IA6431

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0159996IA05




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