Moundridge Dental Center Chartered

NPI #1538469671 in Moundridge, Kansas

Provider Information

NPI Number
1538469671
Entity Type
Organization
Organization Name
Moundridge Dental Center Chartered
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 22, 2010
Last Updated
Oct 22, 2012

Practice Location

Address
324 E 2ND ST
State
Kansas
ZIP Code
67107-7164
Phone
(620) 345-2100

Authorized Official

Name
JAY WARREN HILDRETH JR., DDS
Title
OWNER
Phone
(785) 456-7083

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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