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4 S Berkley St Louisburg KS 66053-3578 | |
| (913) 837-4746 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 S Berkley St, Louisburg, Kansas |
| Authorized Official Name and Position | Brad Hughes (OWNER) |
| Authorized Official Contact | 9138374746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 580 Louisburg KS 66053-0580 Ph: (913) 837-4746 | 4 S Berkley St Louisburg KS 66053-3578 Ph: (913) 837-4746 |
| NPI Number | 1336366095 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336366095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6835 (Kansas) | Primary |