Organization
HESSTON DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DILLNER (OWNER)
(620) 327-2887
Entity
Organization
Contact information
Practice address
353 N. OLD HWY 81, HESSTON, KS 67062
(620) 327-2887
Mailing address
353 N. OLD HWY 81, HESSTON, KS 67062
(620) 327-2887
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429530A
—
KS
Enumeration date
11/21/2008
Last updated
12/11/2008
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