Organization
KATIE L. NEIDIG DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE L NEIDIG DDS (OWNER DENTIST)
(316) 667-2429
Entity
Organization
Contact information
Practice address
420 E MAIN ST, MOUNT HOPE, KS 67108-9459
(316) 667-2429
Mailing address
420 E MAIN ST # 37, MOUNT HOPE, KS 67108-9459
(316) 667-2429
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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