Individual
DR. KYLE JAMES CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4401 SW 9TH ST, DES MOINES, IA 50315-3909
(515) 285-9962
(515) 285-9699
Mailing address
3031 GRAND AVE APT 107, DES MOINES, IA 50312-4202
(515) 669-4755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03877
IA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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