Organization
ELITE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY ALLEN NOVAK DDS, MS (ORTHODENTIST CO-OWNER)
(319) 396-8364
Entity
Organization
Contact information
Practice address
222 EDGEWOOD ROAD NW, CEDAR RAPIDS, IA 52405-4472
(319) 396-8364
(319) 396-5800
Mailing address
222 EDGEWOOD ROAD NW, CEDAR RAPIDS, IA 52405-4472
(319) 396-8364
(319) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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