Individual
DR. JAY D MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2510 HENDERSON DR, GARDEN CITY, KS 67846-3624
(620) 275-4949
(620) 275-0149
Mailing address
2510 HENDERSON DR, GARDEN CITY, KS 67846-3624
(620) 275-4949
(620) 275-0149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60664
KS
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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