| Countryside Dental Care Llc | |
|
1903 Ep True Pkwy # S301 West Des Moines IA 50265-7000 | |
| (515) 224-1618 | |
| Not Available |
| Full Name | Countryside Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1903 Ep True Pkwy # S301, West Des Moines, Iowa |
| Authorized Official Name and Position | Melanie Duncan (OFFICE MANAGER) |
| Authorized Official Contact | 5152241618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Dental Care Llc 1903 Ep True Pkwy # S301 West Des Moines IA 50265-7000 Ph: (515) 224-1618 | Countryside Dental Care Llc 1903 Ep True Pkwy # S301 West Des Moines IA 50265-7000 Ph: (515) 224-1618 |
| NPI Number | 1003134776 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003134776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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