Flinthillsdentalpa

NPI #1780224121 in St Marys, Kansas

Provider Information

NPI Number: 1780224121
Entity Type: Organization
Organization Name: Flinthillsdentalpa
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 104 S. DE SMET LN.
Address 2: STE. 6
City: St Marys
State: Kansas
ZIP Code: 66536
Phone: (785) 321-3455

Authorized Official

Name: DR. ANTOINETTE CANCELADA
Title: DOCTOR
Phone: (785) 321-3455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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