| Mark I Ensman Dds Pa | |
|
2516 W 15th Ave Emporia KS 66801-6102 | |
| (620) 342-8032 | |
| Not Available |
| Full Name | Mark I Ensman Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2516 W 15th Ave, Emporia, Kansas |
| Authorized Official Name and Position | Mark Ensman (PRESIDENT) |
| Authorized Official Contact | 6203428032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark I Ensman Dds Pa 2516 W 15th Ave Emporia KS 66801-6102 Ph: (620) 342-8032 | Mark I Ensman Dds Pa 2516 W 15th Ave Emporia KS 66801-6102 Ph: (620) 342-8032 |
| NPI Number | 1376632083 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376632083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5429 (Kansas) | Primary |
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