Individual
DR. JOHN D. MCQUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1700 COMMERCIAL CIRCLE, WAMEGO, KS 66547
(785) 456-9393
(785) 456-6650
Mailing address
1700 COMMERCIAL CIRCLE, WAMEGO, KS 66547
(785) 456-9393
(785) 456-6650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6488
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002240606C
—
KS
Enumeration date
06/27/2006
Last updated
09/13/2018
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