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Free State Dental
Dental Clinic/Center in De Soto, Kansas
NPI 1912778804

Free State Dental is a Dental Clinic/Center based in Lawrence, KS and is specialized in Dental. Free State Dental practices in De Soto, KS. The NPI Number for Free State Dental is 1912778804 and holds a License No. (Kansas).

The current practice location address for Free State Dental is 33391 Lexington Avenue, De Soto, KS and can be reached out via phone at 785-843-2636.

Location: 33391 Lexington Avenue, De Soto, KS, 66049-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912778804
Provider Name
Free State Dental
Credential
Provider Entity Type
Organization
Address
33391 Lexington Avenue, De Soto, KS, 66049-4609
Phone Number
785-843-2636
Fax Number
Provider Enumeration Date
01/10/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
33391 Lexington Avenue
City
De Soto
State
Kansas
Zip
66018
Phone Number
785-843-2636
Fax Number
person
Provider Business Mailing Address Details
Address
33391 Lexington Avenue
City
De Soto
State
Kansas
Zip
66018
Phone Number
785-843-2636
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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