Eric J Mayuga DDS PA

NPI #1912084914 in Gardner, Kansas

Provider Information

NPI Number: 1912084914
Entity Type: Organization
Organization Name: Eric J Mayuga DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 1, 2006
Last Updated: May 16, 2011

Practice Location

Address: 204 E MAIN ST
City: Gardner
State: Kansas
ZIP Code: 66030
Phone: (913) 856-6171

Authorized Official

Name: ERIC J MAYUGA, DDS
Title: OWNER
Phone: (913) 856-6171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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