Individual
MR. SATYA VIJAY K VADDADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1000 42ND STEET SOUTHEAST RAPIDS DENTAL, CEDAR RAPIDS, IA 52403
(319) 249-6970
(319) 249-6970
Mailing address
1600 MACKENZIE DRIVE, CEDAR RAPIDS, IA 52411
(319) 249-6970
(319) 249-6970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08675
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004012
—
IA
Enumeration date
07/29/2009
Last updated
02/01/2024
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