Organization
STEFFANY L MOHAN DDS PC
Active
Other names
Plaza Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFFANY MOHAN D.D.S. (DENTIST/BUSINESS OWNER)
(515) 224-5999
Entity
Organization
Contact information
Practice address
1089 JORDAN CREEK PKWY, SUITE 100, WEST DES MOINES, IA 50266-5829
(515) 224-5999
(515) 224-5966
Mailing address
1089 JORDAN CREEK PKWY, SUITE 100, WEST DES MOINES, IA 50266-5829
(515) 224-5999
(515) 224-5966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7835
IA
261QD0000X
Dental Clinic/Center
Primary
7835
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197160
—
IA
Enumeration date
05/20/2008
Last updated
10/02/2020
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