Ingersoll Family Dentistry
NPI #1538828678 in Des Moines, Iowa
Provider Information
- NPI Number
- 1538828678
- Entity Type
- Organization
- Organization Name
- Ingersoll Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 16, 2021
- Last Updated
- Dec 16, 2021
Practice Location
- Address
- 2800 INGERSOLL AVE
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50312-4013
- Phone
- (515) 243-2412
Authorized Official
- Name
- DR. BERNARD LAWRENCE GRADOVILLE, D.D.S.
- Title
- OWNER
- Phone
- (515) 243-2412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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