NPI 1063635357

Clark Dennis Wymore, DDS

Practitioner General Practice Dentistry Algona, IA

Practice location

Address: 121 S Dodge St, Algona, IA 50511-2639
Phone: (515) 295-5331

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5980 (IA)

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Registry record

NPI: 1063635357
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.