Individual
DR. STANLEY LEON BETTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 W COMMERCIAL ST, LYONS, KS 67554-2716
(620) 257-5193
(620) 257-5194
Mailing address
PO BOX 696, LYONS, KS 67554-0696
(620) 257-5193
(620) 257-5194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4387
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000959610A
—
KS
01
—
8289
BCBSKS
KS
Enumeration date
01/09/2013
Last updated
01/09/2013
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