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Organization
EMPORIA ORAL SURGERY LC
Active
Organization
EMPORIA ORAL SURGERY LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP C GAUS JR. DDS (PARTNER)
(620) 342-5930
Entity
Organization
Contact information
Practice address
2510 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 342-5930
(620) 343-2972
Mailing address
2510 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 342-5930
(620) 343-2972
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6706
KS
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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