Dentistry for Children of Iowa 2, Pllc
NPI #1457996365 in North Liberty, Iowa
Provider Information
- NPI Number
- 1457996365
- Entity Type
- Organization
- Organization Name
- Dentistry for Children of Iowa 2, Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Nov 14, 2019
- Last Updated
- Nov 14, 2019
Practice Location
- Address
- 1738 LININGER LN
- City
- North Liberty
- State
- Iowa
- ZIP Code
- 52317-2316
- Phone
- (319) 665-2573
Authorized Official
- Name
- TAMONIA LEONARD
- Title
- CREDENTIALING SPECIALIST
- Phone
- (678) 244-4844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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| DR. Robert Thomas Wade, MS, DDS | |
| Michael Louis Walker, DDS MS | |
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