Individual
DAMON POGONCHEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4930 SE 14TH ST, DES MOINES, IA 50320-1604
(515) 395-9519
Mailing address
4930 SE 14TH ST, DES MOINES, IA 50320-1604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09943
IA
Other
Enumeration date
08/10/2021
Last updated
08/25/2021
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