Organization
CEDAR RAPIDS PEDIATRIC DENTISTRY LLC
Active
Other names
Cedar Rapids Pediatric Dentistry PC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH E SWENSON DDS (MANAGER)
(319) 364-2413
Entity
Organization
Contact information
Practice address
1962 1ST AVE NE, CEDAR RAPIDS PEDIATRIC DENTISTRY, CEDAR RAPIDS, IA 52402-5330
(319) 364-2413
Mailing address
1962 1ST AVE NE, CEDAR RAPIDS PEDIATRIC DENTISTRY, CEDAR RAPIDS, IA 52402-5330
(319) 364-2413
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
08765
IA
1223P0221X
Pediatric Dentistry
Primary
08795
IA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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