| Walnut Hills Pediatric Dentistry, L.l.c. | |
|
64 E Hickman Road Waukee IA 50263 | |
| (515) 987-1155 | |
| (515) 987-1181 |
| Full Name | Walnut Hills Pediatric Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 64 E Hickman Road, Waukee, Iowa |
| Authorized Official Name and Position | Nicholas Steven Waage (PEDIATRIC DENTIST/SOLE MEMBER) |
| Authorized Official Contact | 5159871155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Hills Pediatric Dentistry, L.l.c. 64 E Hickman Road Waukee IA 50263 Ph: (515) 987-1155 | Walnut Hills Pediatric Dentistry, L.l.c. 64 E Hickman Road Waukee IA 50263 Ph: (515) 987-1155 |
| NPI Number | 1326343252 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326343252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 08555 (Iowa) | Primary |
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