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Dental Care Facilities

Hesston, Kansas

Provider NPI: 1134374838

Organization Information:
Organization is not Subpart
Authorized Official:  JUSTIN  DILLNER  OWNER  620-3272887

Practice Location:
353 N. OLD HWY 81  HESSTON, KS 67062 US
Tel: 620-327-2887  Fax: --

Business Mailing Address:
353 N. OLD HWY 81  HESSTON, KS 67062 US
Tel: 620-327-2887  Fax: --

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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