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Organization
T.A. RAINBOLT, DDS, P.A.
Active
Organization
T.A. RAINBOLT, DDS, P.A.
Active
Other names
Ottawa Kansas Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A. RAINBOLT DDS (PRESIDENT)
(785) 841-3311
Entity
Organization
Contact information
Practice address
1334 S. MAIN STREET, OTTAWA, KS 66067
(785) 242-5753
(785) 242-8359
Mailing address
1425 WAKARUSA DRIVE, SUITE A, LAWRENCE, KS 66049
(785) 841-3311
(785) 843-0421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2006
Last updated
12/10/2014
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