Dentistry On 5th
NPI #1588082739 in Des Moines, Iowa
Provider Information
- NPI Number
- 1588082739
- Entity Type
- Organization
- Organization Name
- Dentistry On 5th
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 4, 2014
- Last Updated
- Apr 4, 2014
Practice Location
- Address
- 505 5TH AVE
- Address 2
- SUITE 939
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50309-2324
- Phone
- (515) 243-4616
Authorized Official
- Name
- LEANN KIM SOU
- Title
- OFFICE MANAGER
- Phone
- (515) 243-4616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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