# EL DORADO FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1609246404
- **Authorized official:** DR. WILLIAM S RASBAND DDS (DENTIST)
- **Authorized official phone:** (816) 651-7743

## Contact information

- **Practice address:** 202 N MAIN ST, EL DORADO, KS 67042-2018
- **Practice address phone:** (316) 321-0300
- **Mailing address:** 202 N MAIN ST, EL DORADO, KS 67042-2018
- **Mailing address phone:** (316) 321-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5311 | KS | — |
| 1223G0001X | General Practice Dentistry | 60660 | KS | — |
| 1223G0001X | General Practice Dentistry | 61136 | KS | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 10/06/2015