| Cedar Rapids Pediatric Dentistry | |
|
1962 1st Ave Ne Cedar Rapids IA 52402-5334 | |
| (319) 351-0963 | |
| Not Available |
| Full Name | Cedar Rapids Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1962 1st Ave Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Sarah Elizabeth Swenson (PRESIDENT) |
| Authorized Official Contact | 3193510963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Rapids Pediatric Dentistry 1962 1st Ave Ne Cedar Rapids IA 52402-5334 Ph: (319) 351-0963 | Cedar Rapids Pediatric Dentistry 1962 1st Ave Ne Cedar Rapids IA 52402-5334 Ph: (319) 351-0963 |
| NPI Number | 1033473608 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033473608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 08765 (Iowa) | Primary |
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