Organization
DENTAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON CHARLES PETERSON DDS (OWNER)
(319) 364-5561
Entity
Organization
Contact information
Practice address
2701 1ST AVE SE, CEDAR RAPIDS, IA 52402-4834
(319) 364-5561
(319) 364-1717
Mailing address
2701 1ST AVE SE, CEDAR RAPIDS, IA 52402-4834
(319) 364-5561
(319) 364-1717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6573
IA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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