Organization
MOUNDRIDGE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER G CUMMING DMD (PRESIDENT)
(620) 273-6236
Entity
Organization
Contact information
Practice address
324 E 2ND ST, MOUNDRIDGE, KS 67107-7164
(620) 345-2100
(620) 345-2106
Mailing address
1833 NORTON CREEK RD, COTTONWOOD FALLS, KS 66845-9888
(620) 273-6236
(620) 273-8931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7190
KS
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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