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Organization
EL DORADO FAMILY DENTISTRY P.A.
Active
Organization
EL DORADO FAMILY DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS STEVE LATIMER DDS (OWNER)
(316) 321-1010
Entity
Organization
Contact information
Practice address
202 N MAIN ST, EL DORADO, KS 67042-2018
(316) 321-0300
(316) 321-1010
Mailing address
202 N MAIN ST, EL DORADO, KS 67042-2018
(316) 321-0300
(316) 321-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5311
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17426
BCBS
KS
01
—
17428
BCBS
KS
Enumeration date
08/29/2007
Last updated
08/29/2007
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