| Iowa Center For Cosmetic Dentistry | |
|
4100 University Ave #105 West Des Moines IA 50266-5956 | |
| (515) 223-8800 | |
| (515) 223-1437 |
| Full Name | Iowa Center For Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4100 University Ave, West Des Moines, Iowa |
| Authorized Official Name and Position | Phelan Rico Thomas (PRESIDENT) |
| Authorized Official Contact | 5152238800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Center For Cosmetic Dentistry 4100 University Ave #105 West Des Moines IA 50266-5956 Ph: (515) 223-8800 | Iowa Center For Cosmetic Dentistry 4100 University Ave #105 West Des Moines IA 50266-5956 Ph: (515) 223-8800 |
| NPI Number | 1700053006 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700053006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07198 (Iowa) | Primary |
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