Organization
OREAD ORTHODONTICS LLC
Active
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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