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Organization

SANDRA L. OTIPOBY DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA L. OTIPOBY (DDS)
(785) 448-2487
Entity
Organization

Contact information

Practice address
121 WEST 6TH AVE, GARNETT, KS 66032
(785) 448-2487
Mailing address
121 W 6TH AVE, GARNETT, KS 66032-1401
(785) 448-2487
(785) 448-6863

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6871
KS

Other

Enumeration date
05/08/2017
Last updated
05/08/2017
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