Organization
PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER D GAUSMAN D.D.S.,M.S. (PARTNER)
(620) 663-5044
Entity
Organization
Contact information
Practice address
1311 WHEATLAND DR, HUTCHINSON, KS 67502-5667
(620) 663-5044
(620) 663-3044
Mailing address
1311 WHEATLAND DR, HUTCHINSON, KS 67502-5667
(620) 663-5044
(620) 663-3044
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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