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Individual

MR. WILLIAM E SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
X-2

Contact information

Practice address
520 POPE AVE, US ARMY DENTAL ACTIVITY, FORT LEAVENWORTH, KS 66027-2332
(913) 684-5516
Mailing address
520 POPE AVE, US ARMY DENTAL ACTIVITY, FORT LEAVENWORTH, KS 66027-2332
(913) 684-5516

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
06/01/2016
Last updated
06/01/2016
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