Organization
GAGE CENTER DENTAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WILSON (ADMINISTRATOR)
(785) 273-4770
Entity
Organization
Contact information
Practice address
1271 SW WOODHULL ST, TOPEKA, KS 66604-1635
(785) 273-4770
(785) 273-4793
Mailing address
1271 SW WOODHULL ST, TOPEKA, KS 66604-1635
(785) 273-4770
(785) 273-4793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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