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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