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Individual

CAROL M YSIDRO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1401 W GRAND AVE, HAYSVILLE, KS 67060-1261
(316) 524-8661
(316) 524-0331
Mailing address
PO BOX 356, 1401 W. GRAND, HAYSVILLE, KS 67060-0356
(316) 524-8661
(316) 524-0331

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60024
KS

Other

Enumeration date
02/07/2006
Last updated
07/08/2007
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