Organization
CEDAR LODGE DENTAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JONES D.D.S. (OWNER/DENTIST)
(785) 625-7369
Entity
Organization
Contact information
Practice address
1001 CODY AVE, HAYS, KS 67601-2430
(785) 625-7369
(785) 625-7667
Mailing address
1001 CODY AVE, HAYS, KS 67601-2430
(785) 625-7369
(785) 625-7667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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