| Balster Pediatric Dentistry, Pc | |
|
4207 Glass Rd Ne Ste 2 Cedar Rapids IA 52402-2538 | |
| (319) 294-8181 | |
| (319) 261-8182 |
| Full Name | Balster Pediatric Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4207 Glass Rd Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Erik Thomas Balster (OWNER) |
| Authorized Official Contact | 3192948181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balster Pediatric Dentistry, Pc 4207 Glass Rd Ne Ste 2 Cedar Rapids IA 52402-2538 Ph: (319) 294-8181 | Balster Pediatric Dentistry, Pc 4207 Glass Rd Ne Ste 2 Cedar Rapids IA 52402-2538 Ph: (319) 294-8181 |
| NPI Number | 1598922247 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598922247 | NPI | - | NPPES |
| 1475392 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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› Verified 4 days ago
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