# SANDRA L. OTIPOBY DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215463427
- **Authorized official:** SANDRA L. OTIPOBY (DDS)
- **Authorized official phone:** (785) 448-2487

## Contact information

- **Practice address:** 121 WEST 6TH AVE, GARNETT, KS 66032
- **Practice address phone:** (785) 448-2487
- **Mailing address:** 121 W 6TH AVE, GARNETT, KS 66032-1401
- **Mailing address phone:** (785) 448-2487
- **Mailing address fax:** (785) 448-6863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6871 | KS | Yes |

## Other

- **Enumeration date:** 05/08/2017
- **Last updated:** 05/08/2017