Lifepoint I Dental Group, LLC

NPI #1295033421 in West Des Moines, Iowa

Provider Information

NPI Number
1295033421
Entity Type
Organization
Organization Name
Lifepoint I Dental Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LIFEPOINT DENTAL GROUP, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 12, 2011
Last Updated
Sep 5, 2012

Practice Location

Address
1903 EP TRUE PKWY STE 301
State
Iowa
ZIP Code
50265-7000
Phone
(515) 224-1618

Authorized Official

Name
DR. ANGELINA J BLASS, DDS
Title
MEMBER
Phone
(515) 965-5999

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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