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DR. GARY WILLIS COLWELL DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1396837530

Individual Registrant:
DR. GARY WILLIS COLWELL DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
906 MAIN STREET  ADEL, IA 50003 US
Tel: 515-993-3522  Fax: 515-993-4600

Contact information for business:
906 MAIN STREET  ADEL, IA 50003 US
Tel: 515-993-3522  Fax: 515-993-4600

Registration Information:
NPI: 1396837530
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
IA5678

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0119222IA05




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