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Organization
EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE J. STEWART (OFFICE MANAGER)
(319) 366-8277
Entity
Organization
Contact information
Practice address
4150 EDGEWOOD ROAD NE, SUITE 100, CEDAR RAPIDS, IA 52402-0609
(319) 366-8277
(319) 366-7091
Mailing address
4150 EDGEWOOD ROAD NE, SUITE 100, CEDAR RAPIDS, IA 52402-0609
(319) 366-8277
(319) 366-7091
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
08986
IA
Other
Enumeration date
05/20/2008
Last updated
12/28/2021
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