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Organization
ROSSVILLE FAMILY DENTAL, PA
Active
Organization
ROSSVILLE FAMILY DENTAL, PA
Active
Other names
Rossville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GUEST (COO)
(913) 268-1337
Entity
Organization
Contact information
Practice address
428 N MAIN ST, ROSSVILLE, KS 66533-9000
(785) 584-6101
Mailing address
1700 E IRON AVE, SALINA, KS 67401-3401
(785) 404-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61174
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61174
STATE LICENSE
KS
Enumeration date
07/22/2016
Last updated
07/22/2016
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