Organization
DENTISTRY FOR CHILDREN OF IOWA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMONIA LEONARD (CREDENTIALING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
2401 128TH ST, URBANDALE, IA 50323-1816
(770) 692-1000
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/09/2019
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