Organization
ROSSVILLE FAMILY DENTAL, PA
Active
Other names
Rossville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GUEST (COO)
(913) 268-1337
Entity
Organization
Contact information
Practice address
428 N MAIN ST, ROSSVILLE, KS 66533-9000
(785) 584-6101
Mailing address
1700 E IRON AVE, SALINA, KS 67401-3401
(785) 404-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61174
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61174
STATE LICENSE
KS
Enumeration date
07/22/2016
Last updated
07/22/2016
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