Individual
FRED V HARGIS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
311 N MILL ST, MINNEAPOLIS, KS 67467
(785) 392-2194
(785) 392-3231
Mailing address
311 N MILL ST, MINNEAPOLIS, KS 67467
(785) 392-2194
(785) 392-3231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4835
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08929
BCBS
KS
Enumeration date
02/01/2006
Last updated
07/08/2007
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