Organization
DRS. CASSAIDY AND WASS, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY JON WASS D.D.S., M.S. (PRESIDENT)
(515) 232-2152
Entity
Organization
Contact information
Practice address
707 5TH ST, SUITE 102, AMES, IA 50010-5979
(515) 232-2152
(515) 232-2153
Mailing address
707 5TH ST, SUITE 102, AMES, IA 50010-5979
(515) 232-2152
(515) 232-2153
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
06812
IA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7768
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038737
—
IA
Enumeration date
04/09/2007
Last updated
08/22/2020
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