Smith Center Dental Clinic

NPI #1841442597 in Smith Center, Kansas

Provider Information

NPI Number
1841442597
Entity Type
Organization
Organization Name
Smith Center Dental Clinic
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 14, 2008
Last Updated
Oct 14, 2008

Practice Location

Address
130 W KANSAS AVE
State
Kansas
ZIP Code
66967-2013
Phone
(785) 282-6979

Authorized Official

Name
DR. GARY L FREDRICKSON, MDM
Title
OWNER
Phone
(785) 282-6979

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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