| The Nest Pediatric Dentistry, Pc | |
|
1250 Se University Ave Waukee IA 50263-5026 | |
| (515) 650-6378 | |
| Not Available |
| Full Name | The Nest Pediatric Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1250 Se University Ave, Waukee, Iowa |
| Authorized Official Name and Position | Diana Pelzer (OWNER) |
| Authorized Official Contact | 5156506378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Nest Pediatric Dentistry, Pc 5510 Ponderosa Dr West Des Moines IA 50266-2841 Ph: (563) 343-5903 | The Nest Pediatric Dentistry, Pc 1250 Se University Ave Waukee IA 50263-5026 Ph: (515) 650-6378 |
| NPI Number | 1790315166 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790315166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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