Iowa Dental Group LLC
NPI #1265204234 in Des Moines, Iowa
Provider Information
- NPI Number
- 1265204234
- Entity Type
- Organization
- Organization Name
- Iowa Dental Group LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VIDENTA, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 24, 2023
- Last Updated
- Oct 24, 2023
Practice Location
- Address
- 1233 63RD ST
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50311-1943
- Phone
- (515) 277-6358
Authorized Official
- Name
- MR. LUCAS BLAND
- Title
- COO
- Phone
- (515) 577-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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