DR. Edwin Christian Siebrasse, D.D.S.

NPI #1649362906 in Stuart, Iowa

Provider Information

NPI Number: 1649362906
Entity Type: Individual
Name: DR. Edwin Christian Siebrasse, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 303 SW 7TH ST.
Address 2: SUITE D
City: Stuart
State: Iowa
ZIP Code: 50250
Phone: (515) 523-2521

Specialties & Taxonomy Codes

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

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