Ethan a Roos PC

NPI #1487821625 in Norwalk, Iowa

Provider Information

NPI Number: 1487821625
Entity Type: Organization
Organization Name: Ethan a Roos PC
Primary Specialty: Dentist
Enumeration Date: May 15, 2008
Last Updated: May 15, 2008

Practice Location

Address: 1326 SUNSET DR
City: Norwalk
State: Iowa
ZIP Code: 50211-1344
Phone: (515) 981-0444

Authorized Official

Name: ETHAN ANDRE ROOS, DDS
Title: DENTIST
Phone: (515) 981-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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