Organization
MIDWEST ORAL & FACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DAVID LEMON D.M.D., M.D. (PRESIDENT)
(515) 221-0807
Entity
Organization
Contact information
Practice address
1225 JORDAN CREEK PKWY, STE. 120, WEST DES MOINES, IA 50266-2345
(515) 221-0807
(515) 221-0816
Mailing address
1225 JORDAN CREEK PKWY, STE. 120, WEST DES MOINES, IA 50266-2345
(515) 221-0807
(515) 221-0816
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8032
IA
Other
Enumeration date
03/11/2007
Last updated
07/22/2010
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