Organization
REVELL-WARRINGTON DENTAL PC
Active
Other names
Des Moines Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WARRINGTON DDS (PRESIDENT)
(515) 225-1677
Entity
Organization
Contact information
Practice address
5950 VILLAGE VIEW DR, SUITE 200, WEST DES MOINES, IA 50266-3844
(515) 225-1677
Mailing address
5950 VILLAGE VIEW DR, SUITE 200, WEST DES MOINES, IA 50266-3844
(515) 225-1677
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
08631
IA
Other
Enumeration date
08/01/2013
Last updated
08/22/2014
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