Organization
KONZA ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization
KONZA ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONNA JEAN YOUNG (OFFICE MANAGER)
(785) 539-7429
Entity
Organization
Contact information
Practice address
1133 COLLEGE AVE, BUILDING C SUITE 200, MANHATTAN, KS 66502-2770
(785) 539-7429
Mailing address
1133 COLLEGE AVE STE 200 BLG C, MANHATTAN, KS 66502-2756
(785) 539-7429
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
09/14/2012
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