| Holden Correll | |
|
4102 W 6th St Ste B Lawrence KS 66049-4626 | |
| (785) 969-6531 | |
| Not Available |
| Full Name | Holden Correll |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4102 W 6th St Ste B, Lawrence, Kansas |
| Authorized Official Name and Position | Holden Lee Correll (DENTIST) |
| Authorized Official Contact | 7859696531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holden Correll 4102 W 6th St Ste B Lawrence KS 66049-4626 Ph: (785) 969-6531 | Holden Correll 4102 W 6th St Ste B Lawrence KS 66049-4626 Ph: (785) 969-6531 |
| NPI Number | 1053887182 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053887182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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