Organization
SHADOW CREEK PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY I HAMMOND DDS (OWNER)
(515) 480-1754
Entity
Organization
Contact information
Practice address
822 NE ALICES RD, WAUKEE, IA 50263-8857
(515) 264-2772
Mailing address
5910 FAIRWAY CT, WEST DES MOINES, IA 50266-3851
(515) 480-1754
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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