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DR. DEBORAH T GRANDGENETT DDS

Pediatric Dentistry

Ames, Iowa

Provider NPI: 1497841449

Provider Information:
DR. DEBORAH T GRANDGENETT DDS
Gender: F
Not Sole Proprietor

Practice Location:
2208 PHILADELPHIA ST  AMES, IA 50010 US
Tel: 515-956-3423  Fax: 515-956-3424

Business Mailing Address:
2208 PHILADELPHIA ST  AMES, IA 50010 US
Tel: 515-956-3423  Fax: 515-956-3424

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
IA07946

Other Provider Identifiers:

IssuerNumberStateType
0211151IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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