Organization
EL DORADO FAMILY DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS STEVE LATIMER DDS (OWNER)
(316) 321-1010
Entity
Organization
Contact information
Practice address
202 N MAIN ST, EL DORADO, KS 67042-2018
(316) 321-0300
(316) 321-1010
Mailing address
202 N MAIN ST, EL DORADO, KS 67042-2018
(316) 321-0300
(316) 321-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5311
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17426
BCBS
KS
01
—
17428
BCBS
KS
Enumeration date
08/29/2007
Last updated
08/29/2007
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