Organization
AUGUSTA FAMILY DENISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL FRANCIS MITSCH D.M.D. (DENTIST)
(316) 775-2482
Entity
Organization
Contact information
Practice address
401 STATE ST, AUGUSTA, KS 67010-1135
(316) 775-2482
(316) 775-5068
Mailing address
PO BOX 567, 401 STATE STREET, 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
04/15/2007
Last updated
08/22/2020
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