| Dba Lush Family Dental | |
|
Lush Family Dental 2505 Se Encompass Dr. Waukee IA 50263-8099 | |
| (515) 303-0909 | |
| Not Available |
| Full Name | Dba Lush Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Lush Family Dental, Waukee, Iowa |
| Authorized Official Name and Position | Michael William Louscher (DENTIST/OWNER) |
| Authorized Official Contact | 5153030909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Lush Family Dental Lush Family Dental 2505 Se Encompass Dr. Waukee IA 50263-8099 Ph: (515) 303-0909 | Dba Lush Family Dental Lush Family Dental 2505 Se Encompass Dr. Waukee IA 50263-8099 Ph: (515) 303-0909 |
| NPI Number | 1245794643 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245794643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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