Organization
G MICHAEL ALLISON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M ALLISON DDS (PRESIDENT)
(620) 792-4205
Entity
Organization
Contact information
Practice address
1037 SHERIDAN ST, GREAT BEND, KS 67530-3200
(620) 792-4205
Mailing address
1037 SHERIDAN ST, GREAT BEND, KS 67530-3200
(620) 792-4205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4100
KS
Other
Enumeration date
04/14/2007
Last updated
08/22/2020
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