Organization
JUNCTION CITY FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KEVIN BONGERS (PRESIDENT)
(785) 762-4313
Entity
Organization
Contact information
Practice address
1038 W ASH ST, JUNCTION CITY, KS 66441-3462
(785) 762-4313
Mailing address
1038 W ASH ST, JUNCTION CITY, KS 66441-3462
(785) 762-4313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5656
KS
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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