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Organization
ORAL SURGERY KANSAS, LC
Active
Organization
ORAL SURGERY KANSAS, LC
Active
Parent organization
ORAL SURGERY KANSAS, LC
Other names
Emporia Oral Surgery, Ottawa Oral Surgery, Lawrence Oral
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORAL SURGERY KANSAS, LC
Authorized official
BRENDAN T. FARRELL DDS (ORAL SURGEON)
(785) 843-5490
Entity
Organization
Contact information
Practice address
308 MAINE ST, LAWRENCE, KS 66044
(785) 843-5490
(785) 843-5378
Mailing address
308 MAINE ST, LAWRENCE, KS 66044
(785) 843-5490
(785) 843-5378
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60789
KS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6112
KS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6641
KS
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
10/24/2006
Last updated
01/18/2013
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