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Organization
MANHATTAN DENTAL
Active
Organization
MANHATTAN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
2745 PEMBROOK PLACE, MANHATTAN, KS 66502
(785) 539-4601
Mailing address
2745 PEMBROOK PLACE, MANHATTAN, KS 66502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/10/2012
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