Organization
JDAN, LLC
Active
Other names
Main Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DARPANA PATEL DDS (OWNER)
(913) 206-7734
Entity
Organization
Contact information
Practice address
1326 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-4875
Mailing address
1326 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-4875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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