Organization
ANTHONY J GREENWOOD, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J GREENWOOD DDS (OWNER/DENTIST)
(620) 856-2173
Entity
Organization
Contact information
Practice address
1440 PARK AVE, BAXTER SPRINGS, KS 66713-2727
(620) 856-2173
(620) 856-2414
Mailing address
1440 PARK AVE, BAXTER SPRINGS, KS 66713-2727
(620) 856-2173
(620) 856-2414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5590
KS
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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