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Individual

DR. EDWARD A MANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1425 WAKARUSA DR, SUITE A, LAWRENCE, KS 66049-3832
(785) 841-1400
Mailing address
940 E 1264 RD, LAWRENCE, KS 66047-9462
(785) 841-1400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5609
KS

Other

Enumeration date
09/26/2006
Last updated
05/03/2010
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