| NPI | 1386811677 |
|---|---|
| Doing Business As | DES MOINES PEDIATRIC DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW PERRY KUBOVICH Owner 515-225-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2010-11-30 |