Organization
DENTISTRY FOR CHILDREN OF IOWA 2, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMONIA LEONARD (CREDENTIALING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
1738 LININGER LN, NORTH LIBERTY, IA 52317-2316
(319) 665-2573
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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