Lux Dental LLC
NPI #1225748692 in Fort Scott, Kansas
Provider Information
- NPI Number
- 1225748692
- Entity Type
- Organization
- Organization Name
- Lux Dental LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LUX DENTAL LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 28, 2022
- Last Updated
- Nov 28, 2022
Practice Location
- Address
- 204 STATE ST
- City
- Fort Scott
- State
- Kansas
- ZIP Code
- 66701-2031
- Phone
- (620) 223-0130
Authorized Official
- Name
- GINA FERRIS
- Title
- OFFICE MANAGER
- Phone
- (620) 231-2871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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