Organization
CEDAR RAPIDS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ELIZABETH SWENSON DDS (PRESIDENT)
(319) 351-0963
Entity
Organization
Contact information
Practice address
1962 1ST AVE NE, CEDAR RAPIDS, IA 52402-5334
(319) 351-0963
Mailing address
1962 1ST AVE NE, CEDAR RAPIDS, IA 52402-5334
(319) 351-0963
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
08765
IA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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