Jennifer Denhartog Od LLC

NPI #1649634478 in Clive, Iowa

Provider Information

NPI Number: 1649634478
Entity Type: Organization
Organization Name: Jennifer Denhartog Od LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 7, 2016
Last Updated: Sep 11, 2018

Practice Location

Address: 12695 UNIVERSITY AVE STE 170
City: Clive
State: Iowa
ZIP Code: 50325
Phone: (515) 512-1444

Authorized Official

Name: DR. JENNIFER DENHARTOG, OD
Title: OWNER/OD
Phone: (515) 512-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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