# KONZA ORAL AND MAXILLOFACIAL SURGERY PA

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

## Provider details

- **NPI number:** 1538220215
- **Authorized official:** MS. RONNA JEAN YOUNG (OFFICE MANAGER)
- **Authorized official phone:** (785) 539-7429

## Contact information

- **Practice address:** 1133 COLLEGE AVE, BUILDING C SUITE 200, MANHATTAN, KS 66502-2770
- **Practice address phone:** (785) 539-7429
- **Mailing address:** 1133 COLLEGE AVE STE 200 BLG C, MANHATTAN, KS 66502-2756
- **Mailing address phone:** (785) 539-7429

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 09/14/2012