| Eric J Mayuga Dds Pa | |
|
204 E Main St Gardner KS 66030 | |
| (913) 856-6171 | |
| (913) 884-6151 |
| Full Name | Eric J Mayuga Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 E Main St, Gardner, Kansas |
| Authorized Official Name and Position | Eric J Mayuga (OWNER) |
| Authorized Official Contact | 9138566171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J Mayuga Dds Pa Po Box 271 204 E Main St Gardner KS 66030 Ph: (913) 856-6171 | Eric J Mayuga Dds Pa 204 E Main St Gardner KS 66030 Ph: (913) 856-6171 |
| NPI Number | 1912084914 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912084914 | NPI | - | NPPES |
| 23931023 | Other | BCBS OF KC | |
| 383059 | Other | BCBS OF KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7031 (Kansas) | Primary |
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