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Organization

MCANALLY FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT GUEST (COO)
(913) 268-1337
Entity
Organization

Contact information

Practice address
1941 S OHIO STREET, SALINA, KS 67401
(785) 825-9125
Mailing address
1700 E IRON AVE, SALINA, KS 67401-3401
(785) 404-2070

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61019
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61019
STATE LICENSE
KS
Enumeration date
08/31/2016
Last updated
08/31/2016
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