NPI | 1215597703 |
---|---|
Doing Business As | WEST DES MOINES DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | SHARON L LOSO Credentialing Specialist 563-582-1448 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-07-29 |