Organization
WESTDALE DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S THOMAS DDS (OWNER)
(319) 396-0700
Entity
Organization
Contact information
Practice address
4135 WILSON AVE SW, CEDAR RAPIDS, IA 52404-6342
(319) 396-0700
(319) 396-4410
Mailing address
4135 WILSON AVE SW, CEDAR RAPIDS, IA 52404-6342
(319) 396-0700
(319) 396-4410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
08112
IA
1223G0001X
General Practice Dentistry
Primary
6700
IA
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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