Organization
DENTAL ASSOCIATES 4, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN OSBORN (CLINIC DIRECTOR)
(515) 225-6742
Entity
Organization
Contact information
Practice address
2411 E. 1ST STREET, GRIMES, IA 50111
(515) 225-6742
Mailing address
3700 WESTOWN PKWY, WEST DES MOINES, IA 50266-1029
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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