# WAKARUSA ORAL SURGERY, LC

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

## Provider details

- **NPI number:** 1306076971
- **Authorized official:** PHILIP CHARLES GAUS JR. DDS (MANAGER/MEMBER)
- **Authorized official phone:** (785) 856-6010

## Contact information

- **Practice address:** 4901 LEGENDS DR, LAWRENCE, KS 66049-5800
- **Practice address phone:** (785) 856-6010
- **Mailing address:** 4901 LEGENDS DR, LAWRENCE, KS 66049-5800
- **Mailing address phone:** (785) 856-6010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6706 | KS | Yes |

## Other

- **Enumeration date:** 07/17/2009
- **Last updated:** 07/17/2009