Prairie Dental Associates

NPI #1174533210 in Great Bend, Kansas

Provider Information

NPI Number
1174533210
Entity Type
Organization
Organization Name
Prairie Dental Associates
Primary Specialty
Dentist
Enumeration Date
Aug 9, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1701 WILLIAMS
State
Kansas
ZIP Code
67530-2542
Phone
(620) 792-1941

Authorized Official

Name
DR. DEE JO HOLMAN, DDS
Title
DENTIST OWNER SEC-TREASURER
Phone
(620) 792-1941

Specialties & Taxonomy Codes

Specialty
Dentist

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