Individual
DR. PAUL F. MITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
401 STATE ST, AUGUSTA, KS 67010-1135
(316) 775-2482
(316) 775-5068
Mailing address
PO BOX 567, AUGUSTA, KS 67010-0567
(316) 775-2482
(316) 775-5068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5412
KS
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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