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Organization

ERIKA E PEDDICORD, DDS, PLC

Active
Other names
Peddicord Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIKA ELLEN PEDDICORD D.D.S. (OWNER)
(515) 963-3339
Entity
Organization

Contact information

Practice address
121 NE 18TH ST STE C, ANKENY, IA 50021-4697
(515) 963-3339
Mailing address
121 NE 18TH ST STE C, ANKENY, IA 50021-4697
(515) 963-3339

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
08497
IA

Other

Enumeration date
09/14/2010
Last updated
09/09/2013
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