NPI 1003134776

Countryside Dental Care LLC

Organisation General Practice Dentistry West Des Moines, IA

Practice location

Address: 1903 Ep True Pkwy # S301, West Des Moines, IA 50265-7000
Phone: (515) 224-1618

Authorised official

Name: Melanie Duncan
Title: Office Manager
Phone: (515) 224-1618

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1003134776
Entity type: Organization
NPI issued: 5 May 2010
Record last updated: 5 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.