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Mark I Ensman Dds Pa
Dental Clinic/Center in Emporia, Kansas
NPI 1376632083

Mark I Ensman Dds Pa is a Dental Clinic/Center based in Emporia, KS and is specialized in Dental. Mark I Ensman Dds Pa practices in Emporia, KS. The NPI Number for Mark I Ensman Dds Pa is 1376632083 and holds a License No. 5429 (Kansas).

The current practice location address for Mark I Ensman Dds Pa is 2516 W 15Th Ave, Emporia, KS and can be reached out via phone at 620-342-8032.

Location: 2516 W 15Th Ave, Emporia, KS, 66801-6102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376632083
Provider Name
Mark I Ensman Dds Pa
Credential
Provider Entity Type
Organization
Address
2516 W 15Th Ave, Emporia, KS, 66801-6102
Phone Number
620-342-8032
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2516 W 15Th Ave
City
Emporia
State
Kansas
Zip
66801-6102
Phone Number
620-342-8032
Fax Number
person
Provider Business Mailing Address Details
Address
2516 W 15Th Ave
City
Emporia
State
Kansas
Zip
66801-6102
Phone Number
620-342-8032
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
5429 (Kansas)
Definition
Definition to come...
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