| Lifepoint Dental Partners V | |
|
2335 Blairs Ferry Rd Ne Cedar Rapids IA 52402-1918 | |
| (319) 362-0043 | |
| (319) 378-4108 |
| Full Name | Lifepoint Dental Partners V |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2335 Blairs Ferry Rd Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Leann Sou (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5152241618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepoint Dental Partners V 1903 Ep True Pkwy Suite 301 West Des Moines IA 50265-7000 Ph: (515) 224-1618 | Lifepoint Dental Partners V 2335 Blairs Ferry Rd Ne Cedar Rapids IA 52402-1918 Ph: (319) 362-0043 |
| NPI Number | 1598192288 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598192288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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