| Midwest Dental Kansas Augusta State Street Pa | |
|
401 State St Augusta KS 67010-1105 | |
| (316) 775-2482 | |
| Not Available |
| Full Name | Midwest Dental Kansas Augusta State Street Pa |
|---|---|
| Speciality | Dentist |
| Location | 401 State St, Augusta, Kansas |
| Authorized Official Name and Position | Paul Mitsch (OWNER) |
| Authorized Official Contact | 3167752482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental Kansas Augusta State Street Pa 401 State St Augusta KS 67010-1105 Ph: (316) 775-2482 | Midwest Dental Kansas Augusta State Street Pa 401 State St Augusta KS 67010-1105 Ph: (316) 775-2482 |
| NPI Number | 1669841821 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669841821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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