Individual
DR. LEE RONALD INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 W 4TH ST, PRATT, KS 67124-2605
(620) 672-3612
(620) 672-3314
Mailing address
105 W 4TH ST, PRATT, KS 67124-2605
(620) 672-3612
(620) 672-3314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4844
KS
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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