Organization
ROY E COLE DDS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY E COLE DDS MD (OWNER)
(316) 634-1414
Entity
Organization
Contact information
Practice address
1919 N WEBB RD, WICHITA, KS 67206-3405
(316) 634-1414
(316) 634-2709
Mailing address
1919 N WEBB RD, WICHITA, KS 67206-3405
(316) 634-1414
(316) 634-2709
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60187
KS
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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