COUNTRYSIDE DENTISTRY
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1457411928- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1034 NORTH HIGHWAY 69, FRONTENAC, KS, 66763
- Phone
- (620) 232-2273
- Fax
- (620) 232-9308
Specialties & Taxonomies
Dentist
License: KS #60336
Dentist
Primary License: KS #60140