Organization
TOPEKA DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENELL STUMP (DIRECTOR, LICENSING & CREDENTIALING)
(785) 267-9500
Entity
Organization
Contact information
Practice address
2037 SE 29TH ST, TOPEKA, KS 66605-2457
(785) 267-9500
(785) 267-9505
Mailing address
2037 SE 29TH ST, TOPEKA, KS 66605-2457
(785) 267-9500
(785) 267-9505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200383300A
—
KS
Enumeration date
05/27/2006
Last updated
03/26/2015
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