Organization
J.WARREN HILDRETH, JR., DDS PA
Active
Other names
St. Marys Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY WARREN HILDRETH JR. DDS (PRESIDENT)
(785) 456-7083
Entity
Organization
Contact information
Practice address
310 W BERTRAND AVE, SAINT MARYS, KS 66536-1615
(785) 437-2771
(785) 321-1773
Mailing address
310 W BERTRAND AVE, SAINT MARYS, KS 66536-1615
(785) 456-7083
(785) 456-6520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4680
KS
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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