Individual
KATIE L NEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
420 E MAIN ST, MOUNT HOPE, KS 67108-9459
(316) 667-2429
Mailing address
420 E MAIN ST, MOUNT HOPE, KS 67108-9459
(316) 667-2429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60982
KS
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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