Organization
APPLEWHITE DENTAL IOWA PC
Active
Other names
Gateway Dental Group, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
TY JUSTICE (DIRECTOR, CREDENTIALING)
(513) 808-4984
Entity
Organization
Contact information
Practice address
1540 HIGH ST STE 201, DES MOINES, IA 50309-3112
(515) 244-9565
(888) 566-2377
Mailing address
9825 KENWOOD RD STE 200, BLUE ASH, OH 45242-6252
(513) 808-4984
(513) 448-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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