DAVID JOHN LICKTEIG

DES MOINES, IA
NPI1326060633
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  7180)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Dr. DAVID JOHN LICKTEIG D.D.S.
4919 DOUGLAS AVE STE. 10
DES MOINES, IA 50310-2775
Phone number: 515-278-2010
Mailing Address
Dr. DAVID JOHN LICKTEIG D.D.S.
4919 DOUGLAS AVE STE. 10
DES MOINES, IA 50310-2775
Phone number: 515-278-2010