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535 S Main St El Dorado KS 67042-3517 | |
| (316) 321-4222 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 535 S Main St, El Dorado, Kansas |
| Authorized Official Name and Position | Ty Reusser (OWNER/DENTIST) |
| Authorized Official Contact | 3163214222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
535 S Main St El Dorado KS 67042-3517 Ph: (316) 321-4222 | 535 S Main St El Dorado KS 67042-3517 Ph: (316) 321-4222 |
| NPI Number | 1104351741 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104351741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7010 (Kansas) | Primary |
El Dorado Family Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Main St, El Dorado, KS 67042 Phone: 316-321-0300 Fax: 316-321-1010 | |
El Dorado Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Main St, El Dorado, KS 67042 Phone: 316-321-0300 | |
R.m. Moody,dds/el Dorado Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 N Taylor St, El Dorado, KS 67042 Phone: 316-320-3636 Fax: 316-320-3636 |