| Cedar Rapids Periodontics & Dental Implants | |
|
2727 1st Ave Se Ste 3 Cedar Rapids IA 52402-4844 | |
| (319) 365-6150 | |
| Not Available |
| Full Name | Cedar Rapids Periodontics & Dental Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2727 1st Ave Se Ste 3, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Joseph Ballatore (PRESIDENT) |
| Authorized Official Contact | 3193656150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Rapids Periodontics & Dental Implants 2727 1st Ave Se Ste 3 Cedar Rapids IA 52402-4844 Ph: (319) 365-6150 | Cedar Rapids Periodontics & Dental Implants 2727 1st Ave Se Ste 3 Cedar Rapids IA 52402-4844 Ph: (319) 365-6150 |
| NPI Number | 1043871411 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 02/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043871411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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