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Individual

JESS SHIRLEY PLUMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
535 S MAIN ST, EL DORADO, KS 67042-3517
(316) 321-4222
(316) 321-3840
Mailing address
535 S MAIN ST, EL DORADO, KS 67042-3517
(316) 321-4222
(316) 321-3840

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KS5905
KS

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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