Organization
KIM J. WASS, D.D.S., M.S., P.C.
Active
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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