Individual
DR. JOSEPH KURT RETRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
4010 1ST DIVISION RD, FORT RILEY, KS 66442
(785) 239-4173
Mailing address
3415 DICKENS AVE, MANHATTAN, KS 66503-2465
(317) 418-3870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012373A
IN
1223P0300X
Periodontics
Primary
12012373A
IN
Other
Enumeration date
08/17/2015
Last updated
06/22/2023
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