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Organization
SKYWALK DENTAL OFFICE
Active
Organization
SKYWALK DENTAL OFFICE
Active
Other names
David C Collier, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C COLLIER DDS (DENTIST/OWNER)
(515) 280-3030
Entity
Organization
Contact information
Practice address
612 LOCUST ST, SUITE 2, DES MOINES, IA 50309-3718
(515) 280-3030
(515) 280-3426
Mailing address
612 LOCUST ST, SUITE 2, DES MOINES, IA 50309-3718
(515) 280-3030
(515) 280-3426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6370
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159525
—
IA
01
—
6370 IA
STATE OF IOWA LICENSE #
IA
Enumeration date
05/14/2008
Last updated
05/14/2008
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