Organization
LITTLE APPLE PEDIATRIC DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL WAGNER (OFFICE MANAGER)
(785) 776-7242
Entity
Organization
Contact information
Practice address
1133 COLLEGE AVE, BLDG. D LOWER LEVEL, MANHATTAN, KS 66502-2770
(785) 776-7242
(785) 776-5862
Mailing address
1133 COLLEGE AVE, BLDG. D LOWER LEVEL, MANHATTAN, KS 66502-2770
(785) 776-7242
(785) 776-5862
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5333
KS
1223P0221X
Pediatric Dentistry
60385
KS
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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