Organization
TOPEKA PRODENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARDELLE R MADEIRA (OFFICE MANAGER)
(785) 273-2922
Entity
Organization
Contact information
Practice address
2930 SW WANAMAKER DR, TOPEKA, KS 66614-4116
(785) 273-2922
(785) 272-1404
Mailing address
2930 SW WANAMAKER DR, TOPEKA, KS 66614-4116
(785) 273-2922
(785) 272-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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