Organization
TAE HJ BARTO DDS
Active
Other names
Southside Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAE BARTO D.D.S. (PRESIDENT)
(515) 783-5564
Entity
Organization
Contact information
Practice address
6057 SE 14TH ST, DES MOINES, IA 50320-1704
(515) 285-4759
(515) 287-2948
Mailing address
6057 SE 14TH ST, DES MOINES, IA 50320-1704
(515) 285-4759
(515) 287-2948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08632
IA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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