Organization
LIFEPOINT I DENTAL GROUP, LLC
Active
Parent organization
LIFEPOINT DENTAL GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEPOINT DENTAL GROUP, LLC
Authorized official
DR. ANGELINA J BLASS DDS (MEMBER)
(515) 965-5999
Entity
Organization
Contact information
Practice address
1903 EP TRUE PKWY STE 301, WEST DES MOINES, IA 50265-7000
(515) 224-1618
(515) 226-0165
Mailing address
2785 N ANKENY BLVD STE 26, ANKENY, IA 50023-4705
(515) 965-5999
(515) 965-5832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2011
Last updated
09/05/2012
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