Little Apple Pediatric Dentist | |
1133 College Ave Bldg. D Lower Level Manhattan KS 66502-2770 | |
(785) 776-7242 | |
(785) 776-5862 |
Full Name | Little Apple Pediatric Dentist |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1133 College Ave, Manhattan, Kansas |
Authorized Official Name and Position | Carol Wagner (OFFICE MANAGER) |
Authorized Official Contact | 7857767242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Little Apple Pediatric Dentist 1133 College Ave Bldg. D Lower Level Manhattan KS 66502-2770 Ph: (785) 776-7242 | Little Apple Pediatric Dentist 1133 College Ave Bldg. D Lower Level Manhattan KS 66502-2770 Ph: (785) 776-7242 |
NPI Number | 1063571602 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063571602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 5333 (Kansas) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 60385 (Kansas) | Secondary |
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