Pure Facial Development Airway and Esthetics, LLC

NPI #1184423543 in Ankeny, Iowa

Provider Information

NPI Number: 1184423543
Entity Type: Organization
Organization Name: Pure Facial Development Airway and Esthetics, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 10, 2025
Last Updated: Mar 10, 2025

Practice Location

Address: 3720 N ANKENY BLVD STE 200
City: Ankeny
State: Iowa
ZIP Code: 50023-4619
Phone: (515) 963-3339

Authorized Official

Name: DR. ERIKA PEDDICORD, DDS
Title: OWNER
Phone: (515) 963-3339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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