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Organization

MARK I ENSMAN DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK ENSMAN (PRESIDENT)
(620) 342-8032
Entity
Organization

Contact information

Practice address
2516 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 342-8032
Mailing address
2516 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 342-8032

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5429
KS

Other

Enumeration date
10/12/2006
Last updated
07/14/2008
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