Organization
YATES CENTER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SCOTT STANDRIDGE D.D.S (DENTIST/OWNER)
(620) 625-2185
Entity
Organization
Contact information
Practice address
109 W BUTLER ST, YATES CENTER, KS 66783-1259
(620) 625-2185
(620) 625-2185
Mailing address
109 W BUTLER ST, YATES CENTER, KS 66783-1259
(620) 625-2185
(620) 625-2185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60776
KS
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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