Organization
LIFEPOINT DENTAL PARTNERS V
Active
Parent organization
LIFEPOINT DENTAL PARTNERS I
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEPOINT DENTAL PARTNERS I
Authorized official
LEANN SOU (DIRECTOR OF OPERATIONS)
(515) 224-1618
Entity
Organization
Contact information
Practice address
2335 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402-1918
(319) 362-0043
(319) 378-4108
Mailing address
1903 EP TRUE PKWY, SUITE 301, WEST DES MOINES, IA 50265-7000
(515) 224-1618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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