COUNTRY CLUB DENTAL PA
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1699137109- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 400 SW 29TH ST SUITE M, TOPEKA, KS, 666111164
- Phone
- (785) 783-5981
- Fax
- (785) 783-5982
Specialties & Taxonomies
Dentist, General Practice
Dentist, General Practice
Primary License: KS