Organization
ASPEN DENTAL POP WEST DES MOINES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TESENE (OWNER)
(515) 327-7000
Entity
Organization
Contact information
Practice address
6630 MILLS CIVIC PKWY UNIT 1110, WEST DES MOINES, IA 50266-8354
(515) 327-7000
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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