| Iowa Oral And Maxillofacial Surgeons, Pc | |
|
1469 29th St West Des Moines IA 50266-1302 | |
| (515) 223-6529 | |
| (515) 223-5448 |
| Full Name | Iowa Oral And Maxillofacial Surgeons, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 1469 29th St, West Des Moines, Iowa |
| Authorized Official Name and Position | Diana Gail Weirich (INSURANCE COORDINATOR) |
| Authorized Official Contact | 5153271647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Oral And Maxillofacial Surgeons, Pc 1469 29th St West Des Moines IA 50266-1302 Ph: (515) 223-6529 | Iowa Oral And Maxillofacial Surgeons, Pc 1469 29th St West Des Moines IA 50266-1302 Ph: (515) 223-6529 |
| NPI Number | 1609846583 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609846583 | NPI | - | NPPES |
| 22178 | Other | IA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 06447 (Iowa) | Primary |
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