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Organization (NPI-2) Active

Dentist

Provider Information

NPI Number
1396912697
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
701 13TH ST, WEST DES MOINES, IA, 502653404
Phone
(515) 223-1274

Specialties & Taxonomies

Dentist Primary License: IA #5044

All Addresses

MAILING

701 13TH ST

WEST DES MOINES, IA, 502653404

(515) 223-1274

LOCATION

701 13TH ST

WEST DES MOINES, IA, 502653404

(515) 223-1274