Organization
WALNUT HILLS PEDIATRIC DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS STEVEN WAAGE D.D.S. (PEDIATRIC DENTIST/SOLE MEMBER)
(515) 987-1155
Entity
Organization
Contact information
Practice address
64 E HICKMAN ROAD, WAUKEE, IA 50263
(515) 987-1155
(515) 987-1181
Mailing address
64 E HICKMAN ROAD, WAUKEE, IA 50263
(515) 987-1155
(515) 987-1181
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
08555
IA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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