Mulvane Family Dentistry | |
1210 N Rock Rd Mulvane KS 67110-1118 | |
(316) 777-1151 | |
Not Available |
Full Name | Mulvane Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 1210 N Rock Rd, Mulvane, Kansas |
Authorized Official Name and Position | Eric Fayziev (PRESIDENT) |
Authorized Official Contact | 3167771151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mulvane Family Dentistry 1210 N Rock Rd Mulvane KS 67110-1118 Ph: (316) 777-1151 | Mulvane Family Dentistry 1210 N Rock Rd Mulvane KS 67110-1118 Ph: (316) 777-1151 |
NPI Number | 1225463433 |
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Provider Enumeration Date | 09/06/2013 |
Last Update Date | 09/06/2013 |
Identifier | Type | State | Issuer |
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1225463433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60800 (Kansas) | Primary |