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4901 Legends Dr Lawrence KS 66049-5800 | |
(816) 918-0905 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4901 Legends Dr, Lawrence, Kansas |
Authorized Official Name and Position | Jason C Edwards (DENTIST) |
Authorized Official Contact | 8169180905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15805 E Camden Chase St Wichita KS 67228-8122 Ph: (816) 918-0905 | 4901 Legends Dr Lawrence KS 66049-5800 Ph: (816) 918-0905 |
NPI Number | 1871070391 |
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Provider Enumeration Date | 07/26/2018 |
Last Update Date | 07/26/2018 |
Identifier | Type | State | Issuer |
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1871070391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 60939 (Kansas) | Primary |
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