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Organization
WAMEGO DENTAL PROFESSIONALS LLC
Active
Organization
WAMEGO DENTAL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HARRIS (OWNER)
(785) 456-2330
Entity
Organization
Contact information
Practice address
1519 W US HIGHWAY 24, WAMEGO, KS 66547-1322
(785) 456-2330
Mailing address
1519 W US HIGHWAY 24, WAMEGO, KS 66547-1322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/11/2019
Last updated
10/06/2022
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