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Organization

WEST CENTRAL KANSAS ASSOCIATION, INC.

Active
Parent organization
WEST CENTRAL KANSAS ASSOCIATION, INC.
Other names
Russell Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST CENTRAL KANSAS ASSOCIATION, INC.
Authorized official
DAVID CAUDILL (CEO)
(785) 483-0708
Entity
Organization

Contact information

Practice address
300 N MAIN ST, RUSSELL, KS 67665-2731
(785) 483-3131
Mailing address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-0708

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/26/2024
Last updated
04/26/2024
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