| Carol M. Ysidro, D.d.s.,p.a. | |
|
900 E. Meadowlark Derby KS 67037-5258 | |
| (316) 788-2118 | |
| (316) 789-9098 |
| Full Name | Carol M. Ysidro, D.d.s.,p.a. |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 900 E. Meadowlark, Derby, Kansas |
| Authorized Official Name and Position | Monte Ysidro (BUSINESS MANAGER) |
| Authorized Official Contact | 3167882118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol M. Ysidro, D.d.s.,p.a. Po Box 1258 900 E. Meadowlark Derby KS 67037-5258 Ph: (316) 788-2118 | Carol M. Ysidro, D.d.s.,p.a. 900 E. Meadowlark Derby KS 67037-5258 Ph: (316) 788-2118 |
| NPI Number | 1992865612 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992865612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 60024 (Kansas) | Primary |
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