DR. Ethan A Roos, D.D.S.

NPI #1578640801 in Norwalk, Iowa

Provider Information

NPI Number: 1578640801
Entity Type: Individual
Name: DR. Ethan A Roos, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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