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Organization
PERSONALIZED FAMILY DENTAL CARE, P.A.
Active
Organization
PERSONALIZED FAMILY DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HASKELL HAY D.D.S. (OWNER)
(785) 749-2525
Entity
Organization
Contact information
Practice address
10 E 9TH ST, SUITE C-D, LAWRENCE, KS 66044-2621
(785) 749-2525
(785) 749-9524
Mailing address
10 E 9TH ST, SUITE C-D, LAWRENCE, KS 66044-2621
(785) 749-2525
(785) 749-9524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6380
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1494001
DELTA DENTAL
KS
Enumeration date
07/30/2006
Last updated
08/22/2020
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