| Parkway Periodontal Group Pc | |
|
4090 Westown Parkway #a-4 West Des Moines IA 50266 | |
| (515) 223-9700 | |
| (515) 224-7696 |
| Full Name | Parkway Periodontal Group Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4090 Westown Parkway #a-4, West Des Moines, Iowa |
| Authorized Official Name and Position | George A Robeson (VICE PRESIDENT) |
| Authorized Official Contact | 5152239700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Periodontal Group Pc 4090 Westown Parkway #a-4 West Des Moines IA 50266 Ph: (515) 223-9700 | Parkway Periodontal Group Pc 4090 Westown Parkway #a-4 West Des Moines IA 50266 Ph: (515) 223-9700 |
| NPI Number | 1205094570 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205094570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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