Organization
BALSTER PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK THOMAS BALSTER DDS (OWNER)
(319) 294-8181
Entity
Organization
Contact information
Practice address
4207 GLASS RD NE, STE 2, CEDAR RAPIDS, IA 52402-2538
(319) 294-8181
(319) 261-8182
Mailing address
4207 GLASS RD NE, STE 2, CEDAR RAPIDS, IA 52402-2538
(319) 294-8181
(319) 261-8182
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475392
—
IA
Enumeration date
05/20/2008
Last updated
05/20/2008
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