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Organization
ADRIAN P REHAK, DDS, PC
Active
Organization
ADRIAN P REHAK, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN P REHAK DDS (DENTIST/OWNER)
(319) 362-3179
Entity
Organization
Contact information
Practice address
4015 MOUNT VERNON RD SE, CEDAR RAPIDS, IA 52403-3891
(319) 362-3179
(319) 362-9586
Mailing address
4015 MOUNT VERNON RD SE, CEDAR RAPIDS, IA 52403-3891
(319) 362-3179
(319) 362-9586
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6205
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6205
DELTA DENTAL
IA
Enumeration date
05/20/2008
Last updated
05/20/2008
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