Fishomen P.c.
NPI #1700053006 in West Des Moines, Iowa
Provider Information
- NPI Number
- 1700053006
- Entity Type
- Organization
- Organization Name
- Fishomen P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 15, 2008
- Last Updated
- May 15, 2008
Practice Location
- Address
- 4100 UNIVERSITY AVE
- Address 2
- #105
- City
- West Des Moines
- State
- Iowa
- ZIP Code
- 50266-5956
- Phone
- (515) 223-8800
Authorized Official
- Name
- DR. PHELAN RICO THOMAS, DDS
- Title
- PRESIDENT
- Phone
- (515) 223-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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