Organization
FISCHER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KOLSKY (BKKP)
(785) 527-5602
Entity
Organization
Contact information
Practice address
2337 G ST STE 3, BELLEVILLE, KS 66935-2463
(785) 527-5602
(785) 527-5979
Mailing address
2337 G ST STE 3, BELLEVILLE, KS 66935-2463
(785) 527-5602
(785) 527-5979
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6829
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100297200A
—
KS
Enumeration date
03/30/2018
Last updated
03/30/2018
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