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Individual

MRS. REGAN ANN ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 342-7790
Mailing address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 342-4864
(620) 342-7790

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60500
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200717030A
KS
Enumeration date
07/11/2007
Last updated
12/10/2012
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