Individual
CARSON JAMES BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2951 SW WANAMAKER DR STE B, TOPEKA, KS 66614-5320
(785) 273-0801
(785) 273-7350
Mailing address
2951 SW WANAMAKER DR STE B, TOPEKA, KS 66614-5320
(785) 273-0801
(785) 273-7350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61854
KS
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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