Organization
DAVID G LLEWELYN, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JO VANCE RDA (OFFICE MANAGER/RDA)
(515) 223-1274
Entity
Organization
Contact information
Practice address
701 13TH ST, WEST DES MOINES, IA 50265-3404
(515) 223-1274
(515) 223-9421
Mailing address
701 13TH ST, WEST DES MOINES, IA 50265-3404
(515) 223-1274
(515) 223-9421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19
19 GROUP
IA
Enumeration date
03/26/2012
Last updated
03/26/2012
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