East 29th Street Dental Center, LLC

NPI #1376914127 in Topeka, Kansas

Provider Information

NPI Number: 1376914127
Entity Type: Organization
Organization Name: East 29th Street Dental Center, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2015
Last Updated: Jan 5, 2021

Practice Location

Address: 2037 SE 29TH ST
City: Topeka
State: Kansas
ZIP Code: 66605
Phone: (785) 267-9500

Authorized Official

Name: DALE MAYFIELD
Title: PRESIDENT
Phone: (770) 916-5036

Specialties & Taxonomy Codes

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

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