| NPI | 1376303503 |
|---|---|
| Doing Business As | HILL AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LUCAS BLAND COO 515-577-6367 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |