Organization
MARIAN CLINIC, INC.
Active
Other names
Marian Dental Clinic - SCL Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ANDREA SURBER (EXECUTIVE DIRECTOR)
(913) 321-0820
Entity
Organization
Contact information
Practice address
3164 SE 6TH AVE, TOPEKA, KS 66607-2204
(785) 233-2800
(785) 233-5116
Mailing address
3164 SE 6TH AVE, TOPEKA, KS 66607-2204
(785) 233-2800
(785) 233-8952
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
KS22002779
KS
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327610A
—
KS
Enumeration date
12/22/2006
Last updated
10/31/2022
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