Organization
SMITH CENTER DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L FREDRICKSON MDM (OWNER)
(785) 282-6979
Entity
Organization
Contact information
Practice address
130 W KANSAS AVE, SMITH CENTER, KS 66967-2013
(785) 282-6979
(785) 282-3068
Mailing address
130 W KANSAS AVE, SMITH CENTER, KS 66967-2013
(785) 282-6979
(785) 282-3068
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
KS
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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