Organization
CAPITAL CITY ORAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M CRITTENDEN DMD (OWNER)
(785) 273-9717
Entity
Organization
Contact information
Practice address
2445 SW WANAMAKER RD, TOPEKA, KS 66614-5470
(785) 273-9717
Mailing address
2445 SW WANAMAKER RD, TOPEKA, KS 66614-5470
(785) 273-9717
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60603
KS
302F00000X
Exclusive Provider Organization
60603
KS
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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