is a Dentist in Des Moines, Iowa. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1376700260. The last update date is .
's current location address is 2707 Easton Blvd, Des Moines, Iowa. You can contact this provider via phone number 5152650339 and fax number 5152650339. The mailing address for is 2707 Easton Blvd, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2707 Easton Blvd, Des Moines, Iowa |
| Phone Number | 5152650339 |
| Fax Number | 5152650339 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376700260 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2707 Easton Blvd |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503176123 |
| Phone Number | 5152650339 |
| Fax Number | 5152650339 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6797 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 195958 | IA | -- |
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