| NPI | 1689201154 |
|---|---|
| Doing Business As | DES MOINES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RAJENDAR MATTA President 205-617-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |