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1326060633
DAVID JOHN LICKTEIG
DES MOINES, IA
NPI
1326060633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 7180)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. DAVID JOHN LICKTEIG D.D.S.
4919 DOUGLAS AVE STE. 10
DES MOINES, IA 50310-2775
Phone number: 515-278-2010
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Mailing Address
Dr. DAVID JOHN LICKTEIG D.D.S.
4919 DOUGLAS AVE STE. 10
DES MOINES, IA 50310-2775
Phone number: 515-278-2010
Copy
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