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Organization

SUMMIT FAMILY DENTAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN LEINEN D.D.S. (SECRETARY/TREASURER)
(515) 446-0733
Entity
Organization

Contact information

Practice address
1705 N ANKENY BLVD, ANKENY, IA 50023-4102
(515) 205-3398
Mailing address
1705 N ANKENY BLVD, ANKENY, IA 50023-4102
(515) 205-3398

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8260
IA
122300000X
Dentist
8918
IA

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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