Individual
LAUREN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 SW 9TH ST, DES MOINES, IA 50315-5013
(515) 287-5400
Mailing address
6100 SW 9TH ST, DES MOINES, IA 50315-5013
(515) 287-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9306
IA
Other
Enumeration date
08/31/2016
Last updated
09/01/2016
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