Cedar Lodge Dental Group, P.a.

NPI #1063714525 in Hays, Kansas

Provider Information

NPI Number: 1063714525
Entity Type: Organization
Organization Name: Cedar Lodge Dental Group, P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 3, 2010
Last Updated: Dec 3, 2010

Practice Location

Address: 1001 CODY AVE
City: Hays
State: Kansas
ZIP Code: 67601-2430
Phone: (785) 625-7369

Authorized Official

Name: DR. PAUL JONES, D.D.S.
Title: OWNER/DENTIST
Phone: (785) 625-7369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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