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Organization

OREAD ORTHODONTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT C WOOD DDS (MANAGER)
(785) 856-2483
Entity
Organization

Contact information

Practice address
1425 WAKARUSA DR, SUITE C, LAWRENCE, KS 66049-3832
(785) 856-2483
(866) 614-9189
Mailing address
1425 WAKARUSA DR, SUITE C, LAWRENCE, KS 66049
(785) 856-2483
(866) 614-9189

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60276
KS

Other

Enumeration date
06/12/2008
Last updated
06/12/2008
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