Organization
BOYD N NORDMARK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD NELSON NORDMARK DDS (PRESIDENT)
(515) 243-2221
Entity
Organization
Contact information
Practice address
619 W EUCLID AVENUE, DES MOINES, IA 50313-4111
(515) 243-2221
Mailing address
619 W EUCLID AVENUE, DES MOINES, IA 50313-4111
(515) 243-2221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04716
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FEP 03878
FEDERAL
—
Enumeration date
12/05/2006
Last updated
08/22/2020
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