Ankeny Aesthetic Dentistry

NPI #1205191681 in Ankeny, Iowa

Provider Information

NPI Number
1205191681
Entity Type
Organization
Organization Name
Ankeny Aesthetic Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 11, 2012
Last Updated
Jul 11, 2012

Practice Location

Address
340 SE DELAWARE AVE
City
Ankeny
State
Iowa
ZIP Code
50021-9346
Phone
(515) 964-5482

Authorized Official

Name
DR. CHADWIN J WAGENER, DDS
Title
OWNER
Phone
(515) 964-5482

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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