| Restoration Dental, P.c. | |
|
5465 Mills Civic Pkwy Suite 260 West Des Moines IA 50266-5318 | |
| (515) 440-3393 | |
| (515) 440-1159 |
| Full Name | Restoration Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5465 Mills Civic Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | Jay Jerald Jensen (OWNER) |
| Authorized Official Contact | 5154403393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Dental, P.c. 5465 Mills Civic Pkwy Suite 260 West Des Moines IA 50266-5318 Ph: (515) 440-3393 | Restoration Dental, P.c. 5465 Mills Civic Pkwy Suite 260 West Des Moines IA 50266-5318 Ph: (515) 440-3393 |
| NPI Number | 1205003506 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205003506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 07847 (Iowa) | Primary |
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