is a Pediatric Dentistry in Cedar Rapids, Iowa. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for is 1437316353. The last update date is .
's current location address is 1962 1st Ave Ne, Cedar Rapids, Iowa. You can contact this provider via phone number 3193642413. The mailing address for is 1962 1st Ave Ne, Cedar Rapids, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1962 1st Ave Ne, Cedar Rapids, Iowa |
| Phone Number | 3193642413 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1437316353 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1962 1st Ave Ne |
|---|---|
| City | Cedar Rapids |
| State | Iowa (IA) |
| Post Code | 524025330 |
| Phone Number | 3193642413 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 834228 | UNITED CONCORDIA | ||
| 215939 | IA | -- |
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