| Glen B. Miska D.d.s., P.c. | |
|
1953 1st Ave Se Suite D3 Cedar Rapids IA 52402-5328 | |
| (319) 365-7531 | |
| (319) 261-0431 |
| Full Name | Glen B. Miska D.d.s., P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1953 1st Ave Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Glen B Miska (PRESIDENT) |
| Authorized Official Contact | 3193657531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen B. Miska D.d.s., P.c. 1953 1st Ave Se Suite D3 Cedar Rapids IA 52402-5328 Ph: (319) 365-7531 | Glen B. Miska D.d.s., P.c. 1953 1st Ave Se Suite D3 Cedar Rapids IA 52402-5328 Ph: (319) 365-7531 |
| NPI Number | 1679785877 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679785877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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