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Organization

EDWARDS & WILSON PERIODONTICS OF TOPEKA, LLC

Active
Parent organization
EDWARDS AND WILSON PERIODONTICS, P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
EDWARDS AND WILSON PERIODONTICS, P.A.
Authorized official
ASHLI ELIZABETH GILL (OFFICE MANAGER)
(785) 272-0770
Entity
Organization

Contact information

Practice address
3033 SW VILLA WEST DR STE B, TOPEKA, KS 66614-4488
(785) 272-0770
(785) 272-0035
Mailing address
3033 SW VILLA WEST DR STE B, TOPEKA, KS 66614-4488
(785) 272-0770
(785) 272-0035

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
60071
KS
122300000X
Dentist
61063
KS
122300000X
Dentist
Primary
6357
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7948912
BUSINESS ENTITY ID NUMBER
KS
Enumeration date
04/29/2015
Last updated
04/29/2015
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