Organization
FISHOMEN P.C.
Active
Other names
iowa center for cosmetic dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHELAN RICO THOMAS DDS (PRESIDENT)
(515) 223-8800
Entity
Organization
Contact information
Practice address
4100 UNIVERSITY AVE, #105, WEST DES MOINES, IA 50266-5956
(515) 223-8800
(515) 223-1437
Mailing address
4100 UNIVERSITY AVE, #105, WEST DES MOINES, IA 50266-5956
(515) 223-8800
(515) 223-1437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07198
IA
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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