Organization
DRS EASTEP AND BROWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY HOOPER (INSURANCE CLERK)
(620) 336-3766
Entity
Organization
Contact information
Practice address
220 W MAIN ST, CHERRYVALE, KS 67335-1323
(620) 336-3766
(620) 336-2502
Mailing address
220 W MAIN ST, CHERRYVALE, KS 67335-1323
(620) 336-3766
(620) 336-2502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4628
KS
1223G0001X
General Practice Dentistry
60733
KS
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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