Organization
PURE FACIAL DEVELOPMENT AIRWAY AND ESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIKA PEDDICORD DDS (OWNER)
(515) 963-3339
Entity
Organization
Contact information
Practice address
3720 N ANKENY BLVD STE 200, ANKENY, IA 50023-4619
(515) 963-3339
Mailing address
3720 N ANKENY BLVD STE 200, ANKENY, IA 50023-4619
(515) 963-3339
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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