| Elite Orthodontics Llc | |
|
222 Edgewood Road Nw Cedar Rapids IA 52405-4472 | |
| (319) 396-8364 | |
| (319) 396-5800 |
| Full Name | Elite Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 222 Edgewood Road Nw, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Brady Allen Novak (ORTHODENTIST CO-OWNER) |
| Authorized Official Contact | 3193968364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Orthodontics Llc 222 Edgewood Road Nw Cedar Rapids IA 52405-4472 Ph: (319) 396-8364 | Elite Orthodontics Llc 222 Edgewood Road Nw Cedar Rapids IA 52405-4472 Ph: (319) 396-8364 |
| NPI Number | 1508482852 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508482852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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