Individual
HAROLD ANDREW SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3 S MAIN ST, CALDWELL, KS 67022-1531
(620) 845-6417
Mailing address
3 S MAIN ST, CALDWELL, KS 67022-1531
(620) 845-6417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6646
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224340B
—
KS
Enumeration date
06/23/2008
Last updated
06/23/2008
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