# BRET B. GILSDORF, DDS, LLC

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

## Provider details

- **NPI number:** 1639416621
- **Authorized official:** DR. BRET GILSDORF DDS (OWNER)
- **Authorized official phone:** (785) 539-2314

## Contact information

- **Practice address:** 1110 WESTPORT DR, MANHATTAN, KS 66502-2859
- **Practice address phone:** (785) 539-2314
- **Practice address fax:** (785) 539-2314
- **Mailing address:** 1110 WESTPORT DR, MANHATTAN, KS 66502-2859
- **Mailing address phone:** (785) 539-2314
- **Mailing address fax:** (785) 539-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60801 | KS | Yes |

## Other

- **Enumeration date:** 01/10/2013
- **Last updated:** 01/10/2013