Organization
CEDAR RAPIDS ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK C LIU DDS, PHD (PRESIDENT ENDODONTIST)
(319) 365-1456
Entity
Organization
Contact information
Practice address
2750 1ST AVE NE, STE 410, CEDAR RAPIDS, IA 52402-4845
(319) 365-1456
(319) 261-0118
Mailing address
2750 1ST AVE NE, STE 410, CEDAR RAPIDS, IA 52402-4845
(319) 365-1456
(319) 261-0118
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
08090
IA
Other
Enumeration date
03/28/2007
Last updated
01/28/2016
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