Organization
SOUTHWEST ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY HUXMAN (MANAGER)
(620) 272-0100
Entity
Organization
Contact information
Practice address
311 CAMPUS DR, SUITE 101, GARDEN CITY, KS 67846-6294
(620) 272-0100
(620) 271-0160
Mailing address
311 CAMPUS DR, SUITE 101, GARDEN CITY, KS 67846-6294
(620) 272-0100
(620) 271-0160
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
KS
Other
Enumeration date
03/28/2008
Last updated
07/08/2008
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