Organization
HIAWATHA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GENE GEISENDORF D.D.S. (OWNER/DOCTOR)
(785) 740-4000
Entity
Organization
Contact information
Practice address
107 S 6TH ST, HIAWATHA, KS 66434-2306
(785) 740-4000
(785) 742-2727
Mailing address
107 S 6TH ST, HIAWATHA, KS 66434-2306
(785) 740-4000
(785) 742-2727
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60473
KS
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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