Organization
CANTERBURY ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY HUXMAN (OFFICE MANAGER)
(785) 628-1079
Entity
Organization
Contact information
Practice address
2901 CANTERBURY DR, HAYS, KS 67601-2152
(785) 628-1079
(785) 628-1090
Mailing address
2901 CANTERBURY DR, HAYS, KS 67601-2152
(785) 628-1079
(785) 628-1090
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043263858
CRAIG E. MILLER, DDS
KS
01
—
1306825476
KURT MARTIN, DDS, MD
KS
01
—
1629057088
RONALD L. ROHOLT, DDS, MD
KS
Enumeration date
08/03/2006
Last updated
01/02/2008
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