Organization
FLINTHILLSDENTALPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINETTE CANCELADA (DOCTOR)
(785) 321-3455
Entity
Organization
Contact information
Practice address
104 S. DE SMET LN., STE. 6, ST MARYS, KS 66536
(785) 321-3455
(785) 321-3466
Mailing address
PO BOX 129, SAINT MARYS, KS 66536-0129
(785) 321-3455
(785) 321-3466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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