Westdale Dental Office | |
4135 Wilson Ave Sw Cedar Rapids IA 52404-6342 | |
(319) 396-0700 | |
(319) 396-4410 |
Full Name | Westdale Dental Office |
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Speciality | Dentist - General Practice |
Location | 4135 Wilson Ave Sw, Cedar Rapids, Iowa |
Authorized Official Name and Position | Michael S Thomas (OWNER) |
Authorized Official Contact | 3193960700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Westdale Dental Office 4135 Wilson Ave Sw Cedar Rapids IA 52404-6342 Ph: (319) 396-0700 | Westdale Dental Office 4135 Wilson Ave Sw Cedar Rapids IA 52404-6342 Ph: (319) 396-0700 |
NPI Number | 1235360975 |
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Provider Enumeration Date | 07/29/2009 |
Last Update Date | 07/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235360975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6700 (Iowa) | Primary |
1223G0001X | Dentist - General Practice | 08112 (Iowa) | Secondary |
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