Organization
KIM J. WASS, D.D.S., M.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM J. WASS D.D.S., M.S. (PRESIDENT)
(515) 232-2152
Entity
Organization
Contact information
Practice address
707 5TH ST, SUITE 102, AMES, IA 50010-5979
(515) 232-2152
(515) 232-2153
Mailing address
707 5TH ST, SUITE 102, AMES, IA 50010-5979
(515) 232-2152
(515) 232-2153
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6812
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038737
—
IA
Enumeration date
02/12/2007
Last updated
08/22/2020
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