| Wakashaw, LLC | |
|
4901 Legends Dr Lawrence KS 66049-5800 | |
| (785) 856-6010 | |
| (785) 841-6480 |
| Full Name | Wakashaw, LLC |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4901 Legends Dr, Lawrence, Kansas |
| Authorized Official Name and Position | Philip Charles Gaus (OWNER/MANAGER) |
| Authorized Official Contact | 7858566010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakashaw, LLC 4901 Legends Dr Lawrence KS 66049-5800 Ph: (785) 856-6010 | Wakashaw, LLC 4901 Legends Dr Lawrence KS 66049-5800 Ph: (785) 856-6010 |
| NPI Number | 1336550607 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336550607 | NPI | - | NPPES |
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