| Pure Facial Development Airway And Esthetics, Llc | |
|
3720 N Ankeny Blvd Ste 200 Ankeny IA 50023-4619 | |
| (515) 963-3339 | |
| Not Available |
| Full Name | Pure Facial Development Airway And Esthetics, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3720 N Ankeny Blvd Ste 200, Ankeny, Iowa |
| Authorized Official Name and Position | Erika Peddicord (OWNER) |
| Authorized Official Contact | 5159633339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Facial Development Airway And Esthetics, Llc 3720 N Ankeny Blvd Ste 200 Ankeny IA 50023-4619 Ph: (515) 963-3339 | Pure Facial Development Airway And Esthetics, Llc 3720 N Ankeny Blvd Ste 200 Ankeny IA 50023-4619 Ph: (515) 963-3339 |
| NPI Number | 1184423543 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184423543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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