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Organization

PEDIATRIC DENTISTRY OF CENTRAL IOWA, P.C.

Active
Other names
Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT W. MANCUSO JR. D.D.S. (PRESIDENT)
(515) 223-1298
Entity
Organization

Contact information

Practice address
1000 73RD ST, SUITE 10, DES MOINES, IA 50324-1321
(515) 223-1298
(515) 223-1959
Mailing address
1000 73RD ST, SUITE 10, DES MOINES, IA 50324-1321
(515) 223-1298
(515) 223-1959

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
IA

Other

Enumeration date
10/25/2006
Last updated
07/12/2010
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