Organization
ATCHISON COMMUNITY HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN BLEY REAVIS DDS (DIRECTOR OF DENTAL SERVICES/DENTIST)
(913) 367-0212
Entity
Organization
Contact information
Practice address
1412 NORTH 2ND ST., ATCHISON, KS 66002
(913) 367-4879
(913) 367-0240
Mailing address
PO BOX 27, ATCHISON, KS 66002
(913) 367-4879
(913) 367-0240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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