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Individual

MR. NOLAN RYAN ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
535 S. MAIN STREET, EL DORADO, KS 67042
(316) 321-4222
(316) 321-3840
Mailing address
535 S. MAIN STREET, EL DORADO, KS 67042
(316) 321-4222
(316) 321-3840

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61402
KS
1223G0001X
General Practice Dentistry
61402
KS

Other

Enumeration date
05/31/2017
Last updated
10/24/2019
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