is a Dental in West Des Moines, Iowa. practices all healthcare services and medical treatments related to Dental. The NPI Number for is 1386801108. The last update date is .
's current location address is 1089 Jordan Creek Pkwy, West Des Moines, Iowa. You can contact this provider via phone number 5152245999 and fax number 5152245966. The mailing address for is 1089 Jordan Creek Pkwy, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
---|---|
Address | 1089 Jordan Creek Pkwy, West Des Moines, Iowa |
Phone Number | 5152245999 |
Fax Number | 5152245966 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1386801108 |
---|---|
Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1089 Jordan Creek Pkwy |
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City | West Des Moines |
State | Iowa (IA) |
Post Code | 502665829 |
Phone Number | 5152245999 |
Fax Number | 5152245966 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 7835 |
Definition: Provides general and specialized dental care and oral surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
197160 | IA | -- |
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