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Organization

EL DORADO FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM S RASBAND DDS (DENTIST)
(816) 651-7743
Entity
Organization

Contact information

Practice address
202 N MAIN ST, EL DORADO, KS 67042-2018
(316) 321-0300
Mailing address
202 N MAIN ST, EL DORADO, KS 67042-2018
(316) 321-0300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5311
KS
1223G0001X
General Practice Dentistry
60660
KS
1223G0001X
General Practice Dentistry
Primary
61136
KS

Other

Enumeration date
10/06/2015
Last updated
10/06/2015
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