Free State Dental | |
33391 Lexington Avenue Suite C De Soto KS 66018 | |
(785) 843-2636 | |
Not Available |
Full Name | Free State Dental |
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Speciality | Clinic/center - Dental |
Location | 33391 Lexington Avenue, De Soto, Kansas |
Authorized Official Name and Position | Bradley Aaron Adams (PARTNER) |
Authorized Official Contact | 7858432636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Free State Dental 4111 W 6th St Lawrence KS 66049-4609 Ph: (785) 843-2636 | Free State Dental 33391 Lexington Avenue Suite C De Soto KS 66018 Ph: (785) 843-2636 |
NPI Number | 1912778804 |
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Provider Enumeration Date | 01/10/2024 |
Last Update Date | 01/10/2024 |
Identifier | Type | State | Issuer |
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1912778804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |