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Organization

DISCOVER DENTAL PA

Active
Other names
Discover Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT GUEST (COO)
(913) 268-1337
Entity
Organization

Contact information

Practice address
21620 MIDLAND DR, SHAWNEE, KS 66218-9064
(913) 268-1337
Mailing address
1700 E IRON AVE, SALINA, KS 67401-3401
(785) 404-2070
(785) 670-8471

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61187
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61187
STATE LICENSE
KS
Enumeration date
07/22/2016
Last updated
07/22/2016
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