Organization
LINDALE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J WESTERCAMP (OFFICE MANAGER)
(319) 362-2313
Entity
Organization
Contact information
Practice address
3730 1ST AVE NE, CEDAR RAPIDS, IA 52402
(319) 362-2313
(319) 366-6898
Mailing address
3730 1ST AVE NE, CEDAR RAPIDS, IA 52402
(319) 362-2313
(319) 366-6898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6595
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224857
—
IA
Enumeration date
10/17/2006
Last updated
08/22/2020
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