Provider Demographics
NPI:1821578915
Name:AFFORDABLE DENTURES & IMPLANTS - CEDAR RAPIDS, P.C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - CEDAR RAPIDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:B
Authorized Official - Last Name:KAWAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-362-7037
Mailing Address - Street 1:3135 WILEY BLVD SW STE 104
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-3378
Mailing Address - Country:US
Mailing Address - Phone:319-362-7037
Mailing Address - Fax:
Practice Address - Street 1:3135 WILEY BLVD SW STE 104
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-3378
Practice Address - Country:US
Practice Address - Phone:319-362-7037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty