| Iowa Pediatric Dental Surgery, P.l.l.c. | |
|
1111 Jordan Creek Pkwy West Des Moines IA 50266-5816 | |
| (515) 222-1803 | |
| (515) 222-1805 |
| Full Name | Iowa Pediatric Dental Surgery, P.l.l.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1111 Jordan Creek Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | Hans Michael Leonard (DENTIST/OWNER) |
| Authorized Official Contact | 3194804612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Pediatric Dental Surgery, P.l.l.c. 1111 Jordan Creek Pkwy West Des Moines IA 50266-5816 Ph: (515) 222-1803 | Iowa Pediatric Dental Surgery, P.l.l.c. 1111 Jordan Creek Pkwy West Des Moines IA 50266-5816 Ph: (515) 222-1803 |
| NPI Number | 1497510838 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497510838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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