Organization
IOWA PEDIATRIC DENTAL CENTER II LLC
Active
Parent organization
IOWA PEDIATRIC DENTAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA PEDIATRIC DENTAL CENTER
Authorized official
DR. DONALD CRAIG PETERSON JR. D.D.S. (DOCTOR/OWNER)
(319) 366-0600
Entity
Organization
Contact information
Practice address
5350 KIRKWOOD BLVD SW, SUITE 700, CEDAR RAPIDS, IA 52404-5233
(319) 366-0600
(319) 366-1316
Mailing address
5350 KIRKWOOD BLVD SW, SUITE 700, CEDAR RAPIDS, IA 52404-5233
(319) 366-0600
(319) 366-1316
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
08193
IA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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