| Mercy West Dental Clinic | |
|
1601 Nw 114th St Suite #351 Clive IA 50325-7007 | |
| (515) 221-0381 | |
| (515) 221-0381 |
| Full Name | Mercy West Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1601 Nw 114th St, Clive, Iowa |
| Authorized Official Name and Position | William Thomas Grask (OWNER) |
| Authorized Official Contact | 5152210381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy West Dental Clinic 1601 Nw 114th Street Suite #351 Clive IA 50325 Ph: (515) 221-0381 | Mercy West Dental Clinic 1601 Nw 114th St Suite #351 Clive IA 50325-7007 Ph: (515) 221-0381 |
| NPI Number | 1841360898 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841360898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07734 (Iowa) | Primary |
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