Organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Active
Parent organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Other names
Plum Drive Dental, Gateway Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1471 E 1ST ST, GRIMES, IA 50111-5292
(515) 278-2888
(515) 253-9774
Mailing address
1471 E 1ST ST, GRIMES, IA 50111-5292
(515) 278-2888
(515) 253-9774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
03/15/2023
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