Individual
MICHAEL MARTIN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
208 W 4TH ST, HOLTON, KS 66436-1784
(785) 364-4636
Mailing address
1128 SW CAMDEN LN, TOPEKA, KS 66604-1979
(785) 817-6115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61404
KS
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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