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Organization
DOUGLAS COUNTY DENTAL CLINIC, INC
Active
Organization
DOUGLAS COUNTY DENTAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE MEREDITH BRANSTROM (EXECUTIVE DIRECTOR)
(785) 312-7770
Entity
Organization
Contact information
Practice address
2210 YALE RD, LAWRENCE, KS 66049-2647
(785) 312-7770
(785) 312-9447
Mailing address
2210 YALE RD, LAWRENCE, KS 66049-2647
(785) 312-7770
(785) 312-9447
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
60218
KS
Other
Enumeration date
10/18/2005
Last updated
11/05/2014
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