First Avenue Dental, P.a.

NPI #1568138485 in Ulysses, Kansas

Provider Information

NPI Number
1568138485
Entity Type
Organization
Organization Name
First Avenue Dental, P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
FIRST AVENUE DENTAL, P.A.
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 19, 2021
Last Updated
Aug 19, 2021

Practice Location

Address
307 N MAIN ST
State
Kansas
ZIP Code
67880-2132
Phone
(620) 356-1221

Authorized Official

Name
RYAN P LEHMKUHLER, DDS
Title
PRESIDENT
Phone
(620) 225-5154

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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