Organization
CEDAR RAPIDS PERIODONTICS & DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BALLATORE DMD (PRESIDENT)
(319) 365-6150
Entity
Organization
Contact information
Practice address
2727 1ST AVE SE STE 3, CEDAR RAPIDS, IA 52402-4844
(319) 365-6150
Mailing address
2727 1ST AVE SE STE 3, CEDAR RAPIDS, IA 52402-4844
(319) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/26/2019
Last updated
02/15/2020
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