# MARIAN CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marian Dental Clinic - SCL Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063577922
- **Authorized official:** MICHELE ANDREA SURBER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (913) 321-0820

## Contact information

- **Practice address:** 3164 SE 6TH AVE, TOPEKA, KS 66607-2204
- **Practice address phone:** (785) 233-2800
- **Practice address fax:** (785) 233-5116
- **Mailing address:** 3164 SE 6TH AVE, TOPEKA, KS 66607-2204
- **Mailing address phone:** (785) 233-2800
- **Mailing address fax:** (785) 233-8952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | KS22002779 | KS | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 10/31/2022