| Cedar Rapids Endodontics Pc | |
|
2750 1st Ave Ne Ste 410 Cedar Rapids IA 52402-4845 | |
| (319) 365-1456 | |
| (319) 261-0118 |
| Full Name | Cedar Rapids Endodontics Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2750 1st Ave Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Jack C Liu (PRESIDENT ENDODONTIST) |
| Authorized Official Contact | 3193651456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Rapids Endodontics Pc 2750 1st Ave Ne Ste 410 Cedar Rapids IA 52402-4845 Ph: (319) 365-1456 | Cedar Rapids Endodontics Pc 2750 1st Ave Ne Ste 410 Cedar Rapids IA 52402-4845 Ph: (319) 365-1456 |
| NPI Number | 1134248578 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134248578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 08090 (Iowa) | Primary |
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