| Iowa Dental Group Llc | |
|
1233 63rd St Des Moines IA 50311-1943 | |
| (515) 277-6358 | |
| Not Available |
| Full Name | Iowa Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1233 63rd St, Des Moines, Iowa |
| Authorized Official Name and Position | Lucas Bland (COO) |
| Authorized Official Contact | 5155776367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Dental Group Llc 1233 63rd St Des Moines IA 50311-1943 Ph: (515) 277-6358 | Iowa Dental Group Llc 1233 63rd St Des Moines IA 50311-1943 Ph: (515) 277-6358 |
| NPI Number | 1265204234 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265204234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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