Organization
RESTORATION DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY JERALD JENSEN D.D.S. (OWNER)
(515) 440-3393
Entity
Organization
Contact information
Practice address
5465 MILLS CIVIC PKWY, SUITE 260, WEST DES MOINES, IA 50266-5318
(515) 440-3393
(515) 440-1159
Mailing address
5465 MILLS CIVIC PKWY, SUITE 260, WEST DES MOINES, IA 50266-5318
(515) 440-3393
(515) 440-1159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
07847
IA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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