Countryside Dental Care LLC

NPI #1003134776 in West Des Moines, Iowa

Provider Information

NPI Number
1003134776
Entity Type
Organization
Organization Name
Countryside Dental Care LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 5, 2010
Last Updated
May 5, 2010

Practice Location

Address
1903 EP TRUE PKWY # S301
State
Iowa
ZIP Code
50265-7000
Phone
(515) 224-1618

Authorized Official

Name
MELANIE DUNCAN
Title
OFFICE MANAGER
Phone
(515) 224-1618

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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