Organization
PRAIRIE CREEK DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MATHIS DDS (OWNER)
(319) 540-8626
Entity
Organization
Contact information
Practice address
3555 STONE CREEK CIRCLE SW, CEDAR RAPIDS, IA 52404
(319) 310-6323
Mailing address
3555 STONE CREEK CIRCLE SW, CEDAR RAPIDS, IA 52404-8013
(319) 540-8626
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
05/03/2023
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