Organization
LIFEPOINT II DENTAL GROUP
Active
Parent organization
LIFEPOINT DENTAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEPOINT DENTAL GROUP, LLC
Authorized official
DR. ANGELINA BLASS DDS (MEMBER)
(515) 965-5999
Entity
Organization
Contact information
Practice address
2785 N ANKENY BLVD STE 26, ANKENY, IA 50023-4705
(515) 965-5999
(515) 965-5832
Mailing address
2785 N ANKENY BLVD STE 26, ANKENY, IA 50023-4705
(515) 965-5999
(515) 965-5832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2011
Last updated
09/05/2012
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