Organization
FIRST AVENUE DENTAL, P.A.
Active
Parent organization
FIRST AVENUE DENTAL, P.A.
Other names
FIRST DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST AVENUE DENTAL, P.A.
Authorized official
RYAN P LEHMKUHLER DDS (PRESIDENT)
(620) 225-5154
Entity
Organization
Contact information
Practice address
307 N MAIN ST, ULYSSES, KS 67880-2132
(620) 356-1221
(620) 356-5204
Mailing address
307 N MAIN ST, ULYSSES, KS 67880-2132
(620) 356-1221
(620) 356-5204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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