Organization
JOHN D. MCQUILLEN, D.D.S, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. MCQUILLEN D.D.S. (OWNER/PRESIDENT)
(785) 456-9393
Entity
Organization
Contact information
Practice address
904 5TH ST, WAMEGO, KS 66547-1442
(785) 456-9393
(785) 456-6650
Mailing address
904 5TH ST, WAMEGO, KS 66547-1442
(785) 456-9393
(785) 456-6650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6488
KS
Other
Enumeration date
01/16/2006
Last updated
08/22/2020
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