| Iowa Periodontics, P.c. | |
|
4090 Westown Pkwy Suite A-5 West Des Moines IA 50266-6760 | |
| (515) 223-5225 | |
| (515) 223-8630 |
| Full Name | Iowa Periodontics, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4090 Westown Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | De Ann Swenson (OFFICE MANAGER) |
| Authorized Official Contact | 5152235225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Periodontics, P.c. 4090 Westown Pkwy Suite A-5 West Des Moines IA 50266-6760 Ph: (515) 223-5225 | Iowa Periodontics, P.c. 4090 Westown Pkwy Suite A-5 West Des Moines IA 50266-6760 Ph: (515) 223-5225 |
| NPI Number | 1346407590 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346407590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (Iowa) | Primary |
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