| NPI | 1134437080 |
|---|---|
| Doing Business As | PEDDICORD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ERIKA ELLEN PEDDICORD Owner 515-963-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08497) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2013-09-09 |