Organization
CEDAR VALLEY DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TRUNNELL DDS (OWNER)
(319) 266-7559
Entity
Organization
Contact information
Practice address
3722 CEDAR HEIGHTS DR, CEDAR FALLS, IA 50613
(319) 266-7559
(319) 277-5140
Mailing address
3722 CEDAR HEIGHTS DR, CEDAR FALLS, IA 50613-6207
(319) 266-7559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6208
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143206
—
IA
Enumeration date
05/14/2007
Last updated
08/23/2018
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