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
- City
- Great Bend
- 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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