Individual
REINHARD ELAVAZA LUGALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1920 S OHIO ST, SALINA, KS 67401-6643
(785) 825-7197
Mailing address
1920 S OHIO ST, SALINA, KS 67401-6643
(785) 825-7197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61619
KS
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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