| Integrated Periodontics | |
|
2727 1st Ave Se Ste 3 Cedar Rapids IA 52402-4844 | |
| (319) 365-6150 | |
| (319) 365-1844 |
| Full Name | Integrated Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2727 1st Ave Se Ste 3, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Karen Kay Wolf (PRESIDENT/OWNER) |
| Authorized Official Contact | 3193524784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Periodontics 203 20th St Nw Waverly IA 50677-2017 Ph: (319) 352-4784 | Integrated Periodontics 2727 1st Ave Se Ste 3 Cedar Rapids IA 52402-4844 Ph: (319) 365-6150 |
| NPI Number | 1902827041 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902827041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 07945 (Iowa) | Primary |
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