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Organization

MID KANSAS DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LESLEE MILLER (OFFICE MANAGER)
(620) 241-6512
Entity
Organization

Contact information

Practice address
801 N MAPLE ST, MCPHERSON, KS 67460-3103
(620) 241-6512
(620) 241-8568
Mailing address
801 N MAPLE ST, MCPHERSON, KS 67460-3103
(620) 241-6512
(620) 241-8568

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS60689
KS

Other

Enumeration date
10/24/2016
Last updated
11/23/2022
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