Individual
MARY A AUGUSTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
707 GRANT ST, ATWOOD, KS 67730-0177
(785) 626-8290
(785) 626-8332
Mailing address
707 GRANT ST, ATWOOD, KS 67730-1526
(785) 626-8290
(785) 626-8332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60823
KS
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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