Topeka Prodental

NPI #1790563559 in Topeka, Kansas

Provider Information

NPI Number: 1790563559
Entity Type: Organization
Organization Name: Topeka Prodental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 21, 2023
Last Updated: Sep 21, 2023

Practice Location

Address: 2930 SW WANAMAKER DR
City: Topeka
State: Kansas
ZIP Code: 66614-4116
Phone: (785) 273-2922

Authorized Official

Name: MRS. MARDELLE R MADEIRA
Title: OFFICE MANAGER
Phone: (785) 273-2922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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