Provider / Organization | NPI | Date Certified |
---|---|---|
LAUREN DAUFELDT | 1760974745 | 2018-06-05 |
Lauren Daufeldt is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760974745. Registration indicates Lauren Daufeldt is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Entity Type | Individual |
Provider Name | Dr. Lauren Daufeldt DDS |
Practice Office Address | 923 6TH AVE DE WITT, IA US |
Practice Office Telephone | 5636599500 |
Mailing Address | 923 6TH AVE DE WITT, IA 527421330 US |
Business Telephone | 5639407820 |
Code | Practice | License No State |
---|---|---|
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 09553
IA |