Individual
DR. ADAM JOHN RETALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
333 S SETH CHILD RD, MANHATTAN, KS 66502-3003
(785) 320-2277
(785) 320-2182
Mailing address
11113 W 122ND TER, OVERLAND PARK, KS 66213-1951
(913) 220-9367
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
60625
KS
Other
Enumeration date
06/17/2010
Last updated
10/11/2011
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