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Organization

PEDIATRIC DENTISTRY OF CENTRAL IOWA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUCAS BLAND (COO)
(515) 577-6367
Entity
Organization

Contact information

Practice address
1000 73RD ST STE 10, WEST DES MOINES, IA 50265-1321
(515) 223-1298
Mailing address
1000 73RD ST STE 10, WEST DES MOINES, IA 50265-1321
(515) 223-1298

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
01/02/2026
Last updated
01/02/2026
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