Moundridge Dental, P.a.

NPI #1699908731 in Moundridge, Kansas

Provider Information

NPI Number: 1699908731
Entity Type: Organization
Organization Name: Moundridge Dental, P.a.
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2009
Last Updated: Aug 24, 2009

Practice Location

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

Authorized Official

Name: DR. CHRISTOPHER G CUMMING, DMD
Title: PRESIDENT
Phone: (620) 273-6236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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