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Organization

FREE STATE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY AARON ADAMS DDS (PARTNER)
(785) 843-2636
Entity
Organization

Contact information

Practice address
4111 W 6TH ST, LAWRENCE, KS 66049-4609
(785) 843-2636
(785) 838-9577
Mailing address
4111 W 6TH ST STE A, LAWRENCE, KS 66049-4609
(785) 843-2636
(785) 838-9577

Taxonomy

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

Other

Enumeration date
12/15/2008
Last updated
01/01/2024
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