Organization
ANKENY DENTAL ENTERPRISES LLC
Active
Parent organization
IOWA DENTAL ASSOCIATES LLC
Other names
Ankeny Aesthetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA DENTAL ASSOCIATES LLC
Authorized official
SHAUN O'NEILL (CEO)
(608) 289-2540
Entity
Organization
Contact information
Practice address
340 SE DELAWARE AVE, ANKENY, IA 50021-9346
(712) 336-2460
Mailing address
3020 AURORA AVE, SPIRIT LAKE, IA 51360-7097
(608) 289-2540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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