Organization
APPLEWHITE DENTAL IOWA PC
Active
Other names
Westown Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Authorized official
SHARON L LOSO (CREDENTIALING SPECIALIST)
(563) 582-1448
Entity
Organization
Contact information
Practice address
4090 WESTOWN PKWY STE B1, WEST DES MOINES, IA 50266-6760
(563) 582-1448
(563) 556-1326
Mailing address
40 MAIN ST STE 103, DUBUQUE, IA 52001-7641
(563) 582-1448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/29/2019
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