Individual
MAYTHAM FALAH QAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 EDGEWOOD RD SW UNIT 160, CEDAR RAPIDS, IA 52404
(319) 390-1400
Mailing address
2315 EDGEWOOD RD SW UNIT 160, CEDAR RAPIDS, IA 52404-3391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09692
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2019
Last updated
03/05/2020
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